DONALD WEATHERALL


Address: 2821 N 4th St, Milwaukee, WI 53212-2362
Phone: 4143729542

DONALD WEATHERALL (NPI# 1851752455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851752455
Entity Type Individual
Full Name DONALD WEATHERALL
Practice Address 2821 N 4th St
Milwaukee
WI 53212-2362
Practice Telephone 4143729542
Enumeration Date 2016-03-10
Last Update Date 2016-03-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
10917 WI Behavioral Health & Social Service Providers
N 103G00000X Clinical Neuropsychologist 10917 WI Behavioral Health & Social Service Providers

Office Location

Street Address 2821 N 4TH ST
City MILWAUKEE
State WI
Zip Code 53212-2362

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952392706 Cope Behavioral Services Counselor 2821 N 4th St, Suite 121, Milwaukee, WI 53212-2362 2005-11-01
1235605437 Heather Siner Counselor 2821 N 4th St, Milwaukee, WI 53212-2362 2018-10-16
1801379706 Carrie Davis Counselor 2821 N 4th St, Milwaukee, WI 53212-2362 2018-09-07
1083193197 Helen Reynolds Counselor 2821 N 4th St, Milwaukee, WI 53212-2362 2018-08-09
1679015895 Arthur Leon Byas Social Worker 2821 N 4th St, Milwaukee, WI 53212-2362 2016-11-07
1265974414 Meshelle Preston Counselor 2821 N 4th St, Milwaukee, WI 53212-2362 2016-11-04
1124482229 Shecar Substance Abuse/mental Health Clinic Substance Abuse Rehabilitation Facility 2821 N 4th St, Milwaukee, WI 53212-2362 2016-04-05
1215334842 Geletta Ball Counselor 2821 N 4th St, 516, Milwaukee, WI 53212-2362 2014-11-25
1669879300 Wendy Thompson Counselor 2821 N 4th St, Milwaukee, WI 53212-2362 2014-11-24
1376940114 Suzanne Gutierrez Counselor 2821 N 4th St, Milwaukee, WI 53212-2362 2014-11-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609481001 Beth Leanna Counselor Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 2020-09-11
1326683749 A.b.d.h. Counseling Services LLC Clinic/Center 518 E Concordia Avenue, Milwaukee, WI 53212 2019-11-08
1467095703 Ifrah Hameed Psychologist 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 2019-10-18
1386293330 Rachel Mae Nelson Bagha Student in an Organized Health Care Education/Training Program 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 2019-09-11
1164085205 Mary Sue Daase Bowen Counselor 2821 N 4th Street, Milwaukee, WI 53212 2019-04-15
1649733189 Stacey King Counselor Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 2019-04-11
1710447701 Scott William Stauder Student in an Organized Health Care Education/Training Program 1121 E. North Ave., Milwaukee, WI 53212 2019-03-25
1821561168 Lydia Ann Mendez Counselor 3703 N Richards St, Milwaukee, WI 53212 2019-01-09
1851863302 Glen Victor Fleming Counselor 2821 North 4th Street Suite 210, Milwaukee, WI 53212 2018-12-21
1093285140 Megan Marie Volp Advanced Practice Midwife 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 2018-12-03
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649879982 Veronicia S Green Counselor 2821 N Vel R Phillips Ave Ste 131, Milwaukee, WI 53212-2370 2020-10-19
1932733193 1 Step Away Divine Counseling Service LLC Counselor 6815 W Capitol Dr Ste 308, Milwaukee, WI 53216-2056 2020-02-26
1689216293 Carollyn Black Counselor 4892 N 19th St, Milwaukee, WI 53209-5757 2019-10-15
1861046146 Lisa Marie Ortiz Counselor 3336 S 76th St, Milwaukee, WI 53219-3805 2019-07-25
1891359576 Kenneth Ginlack Sr Consulting Services LLC Counselor 3927 S Howell Ave Ste 102, Milwaukee, WI 53207-4421 2019-04-27
1649733189 Stacey King Counselor Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 2019-04-11
1821561168 Lydia Ann Mendez Counselor 3703 N Richards St, Milwaukee, WI 53212 2019-01-09
1851863302 Glen Victor Fleming Counselor 2821 North 4th Street Suite 210, Milwaukee, WI 53212 2018-12-21
1992280218 Tanya Lynn Peters Counselor 9224 W Burleigh St, Milwaukee, WI 53222-3503 2018-10-02
1467948844 Alexcis Coleman Counselor 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 2018-07-09
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Competitor

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City MILWAUKEE
Zip Code 53212

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Dataset Information

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.

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