MARK A STAHL (NPI# 1760567184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760567184 |
Entity Type | Individual |
Full Name | MARK A STAHL |
Credential | MSE, CADC, LPC |
Practice Address |
214 East Summer Street Appleton WI 54911 |
Mailing Address |
924 Tayco Street Menasha WI 54952 |
Practice Telephone | 9207342601 |
Practice Fax Number | 9207271081 |
Enumeration Date | 2006-10-25 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
2967-125 | WI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 43566400 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528319936 | Mark Stahl | Pharmacist | 5268 Gasport Rd, Gasport, NY 14067-9352 | 2012-09-25 |
1306009501 | Mark Charles Stahl | Psychiatry & Neurology | 500 University Dr, Hershey, PA 17033-2360 | 2008-07-08 |
1396955092 | Mark Alan Stahl | Dentist | 6919 E 10th St, Indianapolis, IN 46219-4893 | 2007-05-23 |
1912932476 | Mark Clayton Stahl | Allergy & Immunology | 10447 Highway 151, San Antonio, TX 78251-4551 | 2006-07-12 |
Street Address |
214 EAST SUMMER STREET |
City | APPLETON |
State | WI |
Zip Code | 54911 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
Find all providers in zip 54911 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083236178 | Katherine Kirchner | Counselor | 1636 W Homestead Dr, Appleton, WI 54914-2026 | 2020-05-11 |
1679114136 | Trever Jaymes Allcock | Counselor | 711 N Lynndale Dr, Appleton, WI 54914-3078 | 2019-10-04 |
1780232231 | Mark Andrew Wilkerson | Counselor | 446 N Westhill Blvd Ste 6, Appleton, WI 54914-6533 | 2019-08-28 |
1013563030 | Nhia Moua | Counselor | 5601 W Grande Market Dr Ste N, Appleton, WI 54913-8511 | 2019-08-15 |
1457819419 | Charisma L Deyo-sonntag | Counselor | 1047 N Lynndale Dr Ste 2b, Appleton, WI 54914-3059 | 2019-03-08 |
1639643802 | Julie Ann Prudom | Counselor | 524 W Wayfarer Ct, Appleton, WI 54913-6865 | 2019-01-21 |
1588130827 | Joann Marie Miller | Counselor | 5601 W Grande Market Dr Ste A1, Appleton, WI 54913-8506 | 2018-10-14 |
1003301870 | Walk By Faith Counseling, LLC | Counselor | W6268 Spencer Rd, Appleton, WI 54914-7528 | 2018-06-25 |
1699269241 | Deanna Sieg | Counselor | 1920 N Casaloma Dr, Appleton, WI 54913-7982 | 2018-06-18 |
1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
Find all providers in APPLETON |
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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.