SHANNON ELIZABETH BARTLETT (NPI# 1851643332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851643332 |
| Entity Type | Individual |
| Full Name | SHANNON ELIZABETH BARTLETT |
| Credential | LPC |
| Practice Address |
2910 Enloe St Hudson WI 54016-4538 |
| Mailing Address |
442 Highland Vw Houlton WI 54082-2408 |
| Practice Telephone | 7153770000 |
| Mailing Telephone | 7159544585 |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4899-125 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417911140 | Shannon Jo Bartlett | Physician Assistant | 4380 Malsbary Road, Suite 175, Cincinnati, OH 45242-5644 | 2006-04-12 |
| 1205175288 | Shannon Lynn Bartlett | Counselor | 301 Medical Park Dr, Suite 202-b, Concord, NC 28025-2981 | 2013-02-11 |
| 1093064487 | Shannon Lynn Bartlett | Specialist | 22 New York Rd, Plattsburgh, NY 12903-3981 | 2012-08-31 |
| Street Address |
2910 ENLOE ST |
| City | HUDSON |
| State | WI |
| Zip Code | 54016-4538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235121260 | Shelly Rose Statz | Social Worker | 2910 Enloe St, Hudson, WI 54016-4538 | 2005-08-16 |
| 1033660840 | Renee L. Vannocker | Counselor | 2910 Enloe St, Ste 100, Hudson, WI 54016-4538 | 2016-10-17 |
| 1205130101 | Lindsay Kjolsing Sather | Counselor | 2910 Enloe St, Suite 104, Hudson, WI 54016-4538 | 2011-01-06 |
| 1710212394 | Kristine Hemauer | Psychologist | 2910 Enloe St, Suite 104, Hudson, WI 54016-4538 | 2009-10-15 |
| 1417180084 | Ashley J Hakes | Counselor | 2910 Enloe St, Suite 104, Hudson, WI 54016-4538 | 2009-08-31 |
| 1609005636 | Naomi Nicole Doriott | Counselor | 2910 Enloe St, Suite 104, Hudson, WI 54016-4538 | 2009-07-12 |
| 1124287032 | Amelia L Evans | Counselor | 2910 Enloe St, Suite 104, Hudson, WI 54016-4538 | 2008-06-05 |
| 1689778748 | Randi L Erickson | Psychologist | 2910 Enloe St, Hudson, WI 54016-8166 | 2006-09-11 |
| 1376659201 | Randi L. Erickson | Marriage & Family Therapist | 2910 Enloe St, Suite 104, Hudson, WI 54016-4538 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164921128 | Sara Lynn Henry | Occupational Therapy Assistant | 1320 Wisconsin St., Husdon, WI 54016 | 2018-02-06 |
| 1689003436 | Serving Hands Inc | Home Health | 1419 Boulder Court, Hudson, WI 54016 | 2013-11-02 |
| 1275973042 | Lisa Renee Haverly | Occupational Therapist | 477 Perch Lake Rd, Hudson, WI 54016 | 2013-06-26 |
| 1710320213 | Emily Ann Stevenson | Counselor | 901 4th St Ste 165, Hudson, WI 54016 | 2013-04-15 |
| 1083972954 | The Shurden Group | In Home Supportive Care | 2424 Monetary Blvd. #012, The Shurden Group Dba Comfort Keepers, Hudson, WI 54016 | 2012-04-30 |
| 1124305933 | Robert Michael Catlow-price | Massage Therapist | 131 Carmichael Road, Suite #202, Hudson, WI 54016 | 2011-11-08 |
| 1962780221 | Qin Chu | Acupuncturist | 1615 Maxwell Dr., Suite D, Hudson, WI 54016 | 2011-08-03 |
| 1124324231 | Hung Trieu Lieu | Acupuncturist | 1810 Crest View Dr Ste 4a, Hudson, WI 54016 | 2011-02-07 |
| 1912214966 | Sumac Residential LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 723 B Blue Jay Lane, Hudson, WI 54016 | 2010-09-10 |
| 1740593201 | Michelle Marie Young | Counselor | 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 | 2010-07-26 |
| Find all providers in zip 54016 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265942569 | Virginia Vogel | Counselor | 2201 Jack Breault Dr Ste 200, Hudson, WI 54016-4547 | 2017-10-02 |
| 1962936914 | Samantha Stubbe | Counselor | 2424 Monetary Blvd Ste 116, Hudson, WI 54016-8365 | 2017-04-17 |
| 1013300078 | Rochelle K Anderson | Counselor | 2910 Enloe St Ste 100, Hudson, WI 54016-4539 | 2015-03-13 |
| 1326441163 | Haley E Dunn | Counselor | 10 W. Streetsboro St., 107, Hudson, OH 44236 | 2014-10-08 |
| 1356770986 | Lisa M. Helgeson | Counselor | 706 19th St, Suite 1, Hudson, WI 54016-2161 | 2013-11-04 |
| 1962768838 | John M. Ropar | Counselor | 10 W. Streetsboro Rd., Hudson, OH 44236 | 2012-04-05 |
| 1740593201 | Michelle Marie Young | Counselor | 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 | 2010-07-26 |
| 1821326133 | Christine T Farell-lilla | Counselor | 2501 Hanley Rd, Ste. F, Hudson, WI 54016-8705 | 2009-11-24 |
| 1770716110 | Sherri J Borton | Counselor | 2630 N Maple Grove Hwy, Hudson, MI 49247-9622 | 2009-09-02 |
| 1780731430 | Jennifer Kraemer Herink | Counselor | 715 Orange St, Hudson, WI 54016-1763 | 2007-01-04 |
| Find all providers in HUDSON | ||||
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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.