SALLY S SIBBLAD (NPI# 1922049345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922049345 |
| Entity Type | Individual |
| Full Name | SALLY S SIBBLAD |
| Credential | LMFT CADC |
| Practice Address |
212 11th St S La Crosse WI 54601-4116 |
| Mailing Address |
700 West Ave S Attn Physician Services La Crosse WI 54601-4783 |
| Practice Telephone | 6087919555 |
| Practice Fax Number | 6087919432 |
| Mailing Telephone | 6087914156 |
| Mailing Fax Number | 6087919898 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
373 | WI | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 506 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39336200 | 05 |
| Street Address |
212 11TH ST S |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-4116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356346621 | Jeffrey R Court | Social Worker | 212 11th St S, La Crosse, WI 54601-4116 | 2005-06-14 |
| 1376010256 | Ashley Lee Sammann | Social Worker | 212 11th St S, La Crosse, WI 54601-4397 | 2018-10-29 |
| 1780168765 | Courtney Mcalister | Clinical Neuropsychologist | 212 11th St S, La Crosse, WI 54601-4397 | 2018-09-17 |
| 1376026831 | Nicole Marie Sobkowiak | Counselor | 212 11th St S, La Crosse, WI 54601-4397 | 2018-09-11 |
| 1407207764 | Clare Marie Lewandowski | Psychologist | 212 11th St S, La Crosse, WI 54601 | 2016-06-28 |
| 1922461813 | Jordan Daniel Urbanek | Psychiatry & Neurology | 212 11th St S, La Crosse, WI 54601-4397 | 2016-03-30 |
| 1962861716 | Heather K Roellig | Counselor | 212 11th St S, La Crosse, WI 54601-4397 | 2016-02-22 |
| 1487037826 | Christine A Dean | Social Worker | 212 11th St S, La Crosse, WI 54601-4397 | 2015-07-02 |
| 1841606142 | Reka Furedi | Psychiatry & Neurology | 212 11th St S, La Crosse, WI 54601-4397 | 2014-07-08 |
| 1013328889 | Melissa Lea Thielman | Social Worker | 212 11th St S, La Crosse, WI 54601-4397 | 2014-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275026437 | Jennifer Winifred Walker | Counselor | 2011 21st Pl S, La Crosse, WI 54601-6661 | 2018-06-12 |
| 1801244025 | Lisa Jane Burnham | Counselor | 115 5th Ave S Ste 504, La Crosse, WI 54601-4079 | 2016-05-27 |
| 1730536673 | Mary Beth Springer | Counselor | 811 Rose St, La Crosse, WI 54603-2634 | 2016-05-20 |
| 1013326651 | Deborah Stelmach | Counselor | 444 Main St Ste 301, La Crosse, WI 54601-4099 | 2014-08-07 |
| 1144634189 | Joella Striebel | Counselor | 115 5th Ave S Ste 523, La Crosse, WI 54601-4018 | 2014-06-18 |
| 1487959912 | Kelly Jean Teachout | Counselor | 313 4th St S, La Crosse, WI 54601-4047 | 2011-01-13 |
| 1235469339 | Kay Elizabeth Lisick | Counselor | 3152 28th St S, La Crosse, WI 54601-7612 | 2010-01-12 |
| 1336318948 | Susan Jean Cowell | Counselor | 319 Main St Ste 302, La Crosse, WI 54601-0707 | 2008-02-27 |
| 1306902747 | Teri Mcdougle | Counselor | 4647 Mormon Coulee Rd, La Crosse, WI 54601-8225 | 2006-12-29 |
| 1245270172 | Mark D. Hollowitsch | Counselor | 212 11th Street S., La Crosse, WI 54601-4116 | 2006-06-08 |
| Find all providers in LA CROSSE | ||||
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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.