MS. SUSAN MARIE PANGER (NPI# 1750403101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750403101 |
| Entity Type | Individual |
| Full Name | MS. SUSAN MARIE PANGER |
| Credential | LMFT LCSW |
| Practice Address |
811 60th St 2e Kenosha WI 53140-4074 |
| Mailing Address |
Po Box 96 Kenosha WI 53141-0096 |
| Practice Telephone | 2626529599 |
| Practice Fax Number | 2626520009 |
| Mailing Telephone | 2626529599 |
| Mailing Fax Number | 2626520009 |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2010-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
2606-123 | WI | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 558-124 | WI | Behavioral Health & Social Service Providers |
| Street Address |
811 60TH ST 2E |
| City | KENOSHA |
| State | WI |
| Zip Code | 53140-4074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205034535 | Sue Panger & Associates, Sc | Clinic/Center | 811 60th St, 2e, Kenosha, WI 53140-4074 | 2007-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
| 1952949406 | Rotate Rehabilitation and Performance | Physical Therapist | 5606 6th Avenue Suite Ll9, Kenosha, WI 53140 | 2019-12-16 |
| 1134778590 | Brenda Chiapetta | Registered Nurse | 3233 23rd Ave, Kenosha, WI 53140 | 2019-09-09 |
| 1275003394 | Kimberly Shaffner | Family Medicine | 4536 22nd Avenue, Kenosha, WI 53140 | 2018-12-01 |
| 1659863389 | Bart L Mengo | Contractor | 1715 60th Street, Kenosha, WI 53140 | 2018-05-30 |
| 1093182941 | Guided Wellness Counseling | Community/Behavioral Health | 1112 56th St, Kenosha, WI 53140 | 2015-08-26 |
| 1376970764 | Stacey L Andersen | Acupuncturist | 5603 7th Ave, Kenosha, WI 53140 | 2013-10-01 |
| 1841467438 | Deborah Schwerdtfeger | Occupational Therapy Assistant | 3415 Sheridan Road, Woodstock Rehab Dept, Kenosha, WI 53140 | 2008-05-13 |
| 1942492020 | Rebecca Ann Burdette | Counselor | 920 60th Street, Renosha, WI 53140 | 2007-08-13 |
| 1851598619 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2707 15th Place, Kenosha, WI 53140 | 2007-06-27 |
| Find all providers in zip 53140 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740786912 | Samantha Olson | Marriage & Family Therapist | 6321 23rd Ave, Kenosha, WI 53143-4801 | 2018-04-04 |
| 1982054615 | Jeremy Kevin Strobel | Marriage & Family Therapist | 2108 63rd St, Kenosha, WI 53143-4454 | 2016-06-14 |
| 1780707232 | Stacey Wright | Marriage & Family Therapist | 10117 74th St, Suite 100, Kenosha, WI 53142-7533 | 2007-04-09 |
| 1649382672 | Nedialka Naydenova | Marriage & Family Therapist | 2108 63rd St, Kenosha, WI 53143-4454 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105619 | Matthew Michael Richard Kobriger | Marriage & Family Therapist | 1477 S Knowles Ave Suite 120, New Richmond, WI 54017 | 2020-08-22 |
| 1700494473 | Kelsey Card | Marriage & Family Therapist | 702 N Blackhawk Ave Ste 215, Madison, WI 53705-3357 | 2020-07-20 |
| 1376161489 | Brenda R Lovick | Marriage & Family Therapist | 454 E Church Rd, Cambridge, WI 53523-9632 | 2020-07-06 |
| 1922624139 | Madeline Shay | Marriage & Family Therapist | 629 River St Ste C, Belleville, WI 53508-9189 | 2020-06-23 |
| 1437773736 | Andrew Clayton | Marriage & Family Therapist | 440 Science Dr Ste 300, Madison, WI 53711-1064 | 2020-06-02 |
| 1518580638 | Caitlin Stark | Marriage & Family Therapist | 518 Algoma St, Madison, WI 53704-4813 | 2020-05-22 |
| 1366065757 | Coltan James Schoenike | Marriage & Family Therapist | 500 12th Ave W Apt 30, Menomonie, WI 54751-2445 | 2020-05-20 |
| 1154957314 | William Jay Blevins | Marriage & Family Therapist | 2564 Branch St Ste B5, Middleton, WI 53562-2850 | 2020-03-19 |
| 1578196168 | Psychotherapy Center of Waunakee LLC | Marriage & Family Therapist | 110 Baker St Ste C, Waunakee, WI 53597-2707 | 2020-02-21 |
| 1194355230 | Michelle Nicole King | Marriage & Family Therapist | 757 Martin Ave, Hudson, WI 54016-7762 | 2020-01-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.