DONALD WEATHERALL (NPI# 1851752455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
2821 N 4TH ST |
City | MILWAUKEE |
State | WI |
Zip Code | 53212-2362 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 53212 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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 |
Find all providers in MILWAUKEE |
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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.