MRS. KATHLEEN KIM THOME (NPI# 1922142355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922142355 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN KIM THOME |
| Credential | MSED, LPC |
| Practice Address |
40 Jewelers Park Dr Ste 200 Neenah WI 54956-3893 |
| Mailing Address |
W6710 Greenridge Dr Greenville WI 54942-8675 |
| Practice Telephone | 9204864288 |
| Practice Fax Number | 9204864287 |
| Mailing Telephone | 8155357399 |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2019-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
178.002173 | IL | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
5646 | WI | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
5646 | WI | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 101YS0200X |
Counselor Specialization: School |
1776001 | IL | Behavioral Health & Social Service Providers |
| Street Address |
40 JEWELERS PARK DR STE 200 |
| City | NEENAH |
| State | WI |
| Zip Code | 54956-3893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720472574 | Stephanie Marie Ferguson | Counselor | 40 Jewelers Park Dr Ste 200, Neenah, WI 54956-3893 | 2015-03-18 |
| 1285032565 | Kathleen Claire Glick | Counselor | 40 Jewelers Park Dr Ste 200, Neenah, WI 54956-3893 | 2014-12-18 |
| 1235479320 | Kaitlyn A Gitter | Counselor | 40 Jewelers Park Dr Ste 200, Neenah, WI 54956-3893 | 2013-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
| 1639614290 | Clinton Robert Murchland | Pharmacist | 828 Fox Point Plaza, Pharmacy, Neenah, WI 54956 | 2017-01-05 |
| 1629448550 | Melissa Christine Hewitt | Physical Therapy Assistant | 1119 Higgins Ave, Neenah, WI 54956 | 2015-10-05 |
| 1437581923 | Ross Phan | Pharmacist | 1432 Seymour Crt, Neenah, WI 54956 | 2013-08-06 |
| 1518201318 | Meridith Nealy Starling | Social Worker | 124 W Wisconsin Ave, Suite 90 B, Neenah, WI 54956 | 2012-11-16 |
| 1639464886 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 S. Green Bay Rd, Neenah, WI 54956 | 2011-06-16 |
| 1669701439 | Donna Jean Falk | Licensed Practical Nurse | 1037 B Hunt Ave, Neenah, WI 54956 | 2009-12-08 |
| 1285868257 | Angela Marie Bilbrey | Dietitian, Registered | 307 S Commercial St Ste 101, Neenah, WI 54956 | 2009-05-06 |
| 1003083114 | A B See Vision Therapy Centers Sc | Optometrist | 1401 Mcmahon Dr., Suite 100, Neenah, WI 54956 | 2008-05-08 |
| 1629244173 | Tamra Marie Knutson | Radiology | 333 N Commercial St #100, Neenah, WI 54956 | 2008-05-05 |
| Find all providers in zip 54956 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407319130 | Meghan K Fischer | Counselor | 628 Main St Apt E, Neenah, WI 54956-2489 | 2019-04-10 |
| 1609222140 | Megan J Weber | Counselor | 1907 American Dr, Suite B2, Neenah, WI 54956-1236 | 2016-05-13 |
| 1427597889 | Sharon A Hansen | Counselor | 1370 S Commercial St, Neenah, WI 54956-4636 | 2017-02-17 |
| 1548619976 | Amanda Line | Counselor | 1509 S Commercial St, Neenah, WI 54956-6152 | 2016-06-07 |
| 1720472574 | Stephanie Marie Ferguson | Counselor | 40 Jewelers Park Dr Ste 200, Neenah, WI 54956-3893 | 2015-03-18 |
| 1285032565 | Kathleen Claire Glick | Counselor | 40 Jewelers Park Dr Ste 200, Neenah, WI 54956-3893 | 2014-12-18 |
| 1073913406 | Stephanie Tsoris | Counselor | 705 Manchester Rd, Neenah, WI 54956-4909 | 2014-09-04 |
| 1104252121 | Hannah Elizabeth Episcopo | Counselor | 40 Jewelers Park Dr, Suite 200, Neenah, WI 54956-3893 | 2013-09-23 |
| 1235479320 | Kaitlyn A Gitter | Counselor | 40 Jewelers Park Dr Ste 200, Neenah, WI 54956-3893 | 2013-02-26 |
| 1952653214 | Andrea La Barre | Counselor | 1370 S Commercial St, Neenah, WI 54956 | 2012-10-11 |
| Find all providers in NEENAH | ||||
Please comment or provide details below to improve the information on MRS. KATHLEEN KIM THOME.
| 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.