LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC. (NPI# 1801253844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801253844 |
| Entity Type | Organization |
| Organization Name | LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC. |
| Practice Address |
33 N 25th St E Superior WI 54880-5269 |
| Practice Telephone | 7153944173 |
| Mailing Telephone | 7153944173 |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |
| Authorized Official Name | JASON EDWARD ABRAHAMZON (COUNSELING INTERN) |
| Authorized Official Telephone | 7153944173 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 2872 | WI | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154663375 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Counselor | 1850 Cranston Rd, Beloit, WI 53511-2544 | 2013-03-26 |
| 1386969723 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Counselor | 127 W Central St, Chippewa Falls, WI 54729-2346 | 2010-03-29 |
| 1659446672 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Counselor | 306 S Barstow St, Eau Claire, WI 54701-3678 | 2006-11-22 |
| 1013082577 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 16 Boon Blvd, Neillsville, WI 54456-2176 | 2006-11-21 |
| 1952476426 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 320 Dvorak Ct, Stoughton, WI 53589-5480 | 2006-11-21 |
| 1437224961 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Substance Abuse Rehabilitation Facility | 1002 Motor Ave, Waukesha, WI 53188-4955 | 2006-11-21 |
| 1528133071 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Substance Abuse Rehabilitation Facility | 325 Sentinel Dr, Waukesha, WI 53189-7551 | 2006-11-21 |
| 1326113887 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | W18105 Hemlock Rd, Wittenberg, WI 54499-8647 | 2006-11-21 |
| 1033284740 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Substance Abuse Rehabilitation Facility | 3042 Kilbourne Ave, Eau Claire, WI 54703-0943 | 2006-11-21 |
| 1730253758 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Public Health or Welfare | 6737 W Washington St Ste 2275, West Allis, WI 53214-5666 | 2006-11-20 |
| Street Address |
33 N 25TH ST E |
| City | SUPERIOR |
| State | WI |
| Zip Code | 54880-5269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255754156 | Robin Leigh Wheaton | Counselor | 33 N 25th St E, Superior, WI 54880-5269 | 2014-01-28 |
| 1295120525 | Wendy Michelle Morris | Counselor | 33 N 25th St E, Superior, WI 54880-5269 | 2015-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427194 | Alana Catherine Sullivan | Speech-Language Pathologist | 25 N 25th Street E, Superior, WI 54880 | 2020-11-05 |
| 1710524970 | Sean Wiberg Peterson | Specialist/Technologist | 1810 Catlin Ave, Room 1246, Superior, WI 54880 | 2019-12-06 |
| 1558858936 | Brent Adam Engstrom | Student in an Organized Health Care Education/Training Program | 1410 Nth 23rd Street, Superior, WI 54880 | 2018-04-20 |
| 1558769125 | David Kroll | Specialist | Balknap & Catlin Aves., Superior, WI 54880 | 2014-12-15 |
| 1154670321 | Superior Treatment Center, Inc | Community/Behavioral Health | 1507 Tower Ave Ste 307, Superior, WI 54880 | 2012-09-04 |
| 1548551658 | Dionne Jeannine Corcoran | Midwife | 916 Hammond Ave Ste 222, Superior, WI 54880 | 2011-04-22 |
| 1821235433 | Lauren Ashley Miller | Speech-Language Pathologist | 35 N. 28th Street, Superior, WI 54880 | 2009-01-20 |
| 1528261989 | Stacy Ann Kennelly | Physical Therapist | 1612 N 37th Street, Superior, WI 54880 | 2007-06-06 |
| 1760564942 | James Henry Dobis | Family Medicine | 3520 Tower Avenue, Twin Ports Va Outpatient Clinic, Superior, WI 54880 | 2006-10-19 |
| 1134214398 | Kevin M Mikel | Dentist | 3312 Tower Avenue, Superior, WI 54880 | 2006-10-04 |
| Find all providers in zip 54880 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831671437 | Pono Counseling Services Pllc | Community/Behavioral Health | 1319 S Weldona Ln, Superior, CO 80027-8063 | 2018-08-30 |
| 1154670321 | Superior Treatment Center, Inc | Community/Behavioral Health | 1507 Tower Ave Ste 307, Superior, WI 54880 | 2012-09-04 |
| 1174995146 | Pickering Counseling & Consulting, Inc. | Community/Behavioral Health | 1728 Tower Ave, Superior, WI 54880-2543 | 2015-10-29 |
| 1841369634 | Horizon Health and Wellness, Inc. | Community/Behavioral Health | 400 W Main, Superior, AZ 85173 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968990 | Zoran Jovicic | Community/Behavioral Health | 3239 S 58th St Unit 104, Milwaukee, WI 53219-4365 | 2020-10-08 |
| 1437776457 | Milkweed Connections LLC | Community/Behavioral Health | 1700 Tainter St Ste D, Menomonie, WI 54751-1358 | 2020-06-26 |
| 1477178473 | Grace Counseling & Family Services S.c | Community/Behavioral Health | 121 S Adams St, New Lisbon, WI 53950-1205 | 2020-06-15 |
| 1740804491 | Strides Equestrian Therapeutic Center LLC | Community/Behavioral Health | W6769 Colby Factory Rd, Greenwood, WI 54437-9010 | 2020-05-28 |
| 1841831153 | Sheboygan County Halfway House | Community/Behavioral Health | 503 Ontario Ave, Sheboygan, WI 53081-4151 | 2019-10-08 |
| 1780234955 | Spirited Psychological Services LLC | Community/Behavioral Health | 376 Violet Cir, Grantsburg, WI 54840-8564 | 2019-09-18 |
| 1548816580 | Latara Williams | Community/Behavioral Health | 2447 N 50th St, Milwaukee, WI 53210-2815 | 2019-08-15 |
| 1942856091 | Kennedy's Circle of Wellness LLC | Community/Behavioral Health | 3614 W North Ave, Milwaukee, WI 53208-1416 | 2019-08-14 |
| 1104386101 | Counseling Center | Community/Behavioral Health | 601 N 5th St, Sheboygan, WI 53081-4624 | 2019-03-25 |
| 1205391828 | Jerome Pitchford | Community/Behavioral Health | 1220 W Atkinson Ave, Milwaukee, WI 53206-3024 | 2019-02-07 |
| 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.