MS. TARA H WILHELMI (NPI# 1902452949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902452949 |
| Entity Type | Individual |
| Full Name | MS. TARA H WILHELMI |
| Credential | CPSS |
| Practice Address |
6417 Odana Rd. Suite 5 Madison WI 53719 |
| Practice Telephone | 6082686530 |
| Practice Fax Number | 6087091744 |
| Mailing Telephone | 6082686530 |
| Mailing Fax Number | 6087091744 |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
6417 ODANA RD. SUITE 5 |
| City | MADISON |
| State | WI |
| Zip Code | 53719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871890756 | Debie Evans | Counselor | 6417 Odana Rd., Ste 5, Madison, WI 53719 | 2011-02-11 |
| 1801494141 | Deandra Bobby Walker | Counselor | 6417 Odana Rd., Suite 5, Madison, WI 53719 | 2020-10-09 |
| 1265039697 | Fjolla Riza | Social Worker | 6417 Odana Rd., Suite 5, Madison, WI 53719 | 2020-10-08 |
| 1619580636 | Serena Wong Yu | Student in an Organized Health Care Education/Training Program | 6417 Odana Rd., Suite #5, Madison, WI 53719 | 2020-08-28 |
| 1942859616 | Kianna Jade Goodwin | Counselor | 6417 Odana Rd., Suite 5, Madison, WI 53719 | 2019-09-05 |
| 1922653872 | Yeng Vang Beyler | Case Manager/Care Coordinator | 6417 Odana Rd., Suite 5, Madison, WI 53719 | 2019-08-07 |
| 1659926509 | Vanessa Diana Statam | Social Worker | 6417 Odana Rd., Suite 5, Madison, WI 53719 | 2019-08-07 |
| 1184277949 | Nancy Jessenia Gomez | Marriage & Family Therapist | 6417 Odana Rd., Suite 4, Madison, WI 53719 | 2019-07-22 |
| 1689234296 | Aneidys Reyes | Marriage & Family Therapist | 6417 Odana Rd., Suite 5, Madison, WI 53719 | 2019-06-17 |
| 1780049940 | Gilberto Gutierrez | Counselor | 6417 Odana Rd., Suite 5, Madison, WI 53719 | 2015-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
| 1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| 1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
| 1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
| Find all providers in zip 53719 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295221174 | Peter Joseph Rossmeissl | Peer Specialist | 1320 Mendota St Ste 106, Madison, WI 53714-1096 | 2018-07-03 |
| 1497097752 | Karen E Milstein | Peer Specialist | 1320 Mendota St, Ste 120, Madison, WI 53714-1096 | 2013-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477023729 | Subdoc | Peer Specialist | 7275 N Port Washington Rd Apt 314, Milwaukee, WI 53217-3337 | 2018-11-29 |
| 1265923148 | William Thomas Humphrey | Peer Specialist | 433 W Maple St, Viroqua, WI 54665-1930 | 2018-05-25 |
| 1104338920 | Casey Bobinger | Peer Specialist | 412 E North St Ste A, Waukesha, WI 53188-3720 | 2017-11-02 |
| 1750739033 | Tracey Zwieg | Peer Specialist | 1700 Elder St, Waukesha, WI 53188-3234 | 2016-05-27 |
| 1376990069 | Greta Petersen | Peer Specialist | 412 E North St, Waukesha, WI 53188-3720 | 2016-05-23 |
| 1063055192 | Jerome Allen Larson | Peer Specialist | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-10-22 |
| 1053833707 | Annette Renna Mcknight | Peer Specialist | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2017-07-14 |
| 1215386347 | Susan Schmidt | Peer Specialist | 412 E North St, Suite A, Waukesha, WI 53188-3720 | 2016-06-09 |
| 1902255987 | Steven Splittgerber | Peer Specialist | 412 E North St, Suite A, Waukesha, WI 53188-3720 | 2016-06-09 |
| 1417306879 | Kathleen Mack | Peer Specialist | 412 E North St, Suite A, Waukesha, WI 53188-3720 | 2016-06-07 |
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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.