MS. JORDAN BREE LESUER-MANDERNACK (NPI# 1932720430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932720430 |
| Entity Type | Individual |
| Full Name | MS. JORDAN BREE LESUER-MANDERNACK |
| Credential | LPC-IT |
| Practice Address |
10045 W Lisbon Ave Wauwatosa WI 53222-2446 |
| Practice Telephone | 4143587953 |
| Practice Fax Number | 4143587158 |
| Mailing Telephone | 4143587953 |
| Mailing Fax Number | 4143587158 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
4501-226 | WI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6737 W Washington St, West Allis, WI 532145647 | 4143587953 | 4143587158 |
| Street Address |
10045 W LISBON AVE |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53222-2446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881694701 | Richard August Hohfeler | Psychologist | 10045 W Lisbon Ave, Suite 200, Wauwatosa, WI 53222-2446 | 2005-07-21 |
| 1144835265 | Katheryn Lynn Knapp | Counselor | 10045 W Lisbon Ave, Wauwatosa, WI 53222-2446 | 2020-09-15 |
| 1164068565 | Ariel Marie Namowicz | Counselor | 10045 W Lisbon Ave, Wauwatosa, WI 53222-2446 | 2019-11-20 |
| 1669016408 | Christine Marie Krzyston | Social Worker | 10045 W Lisbon Ave, Wauwatosa, WI 53222-2446 | 2019-11-05 |
| 1427522481 | Kyrie Larcher | Social Worker | 10045 W Lisbon Ave, Wauwatosa, WI 53222-2446 | 2019-01-13 |
| 1932690997 | Mark Andrew Milaeger | Counselor | 10045 W Lisbon Ave, Wauwatosa, WI 53222-2446 | 2018-05-25 |
| 1811403652 | Toni T Martinez | Counselor | 10045 W Lisbon Ave, Wauwatosa, WI 53222-2446 | 2017-12-15 |
| 1518497783 | Stephanie M Collins | Social Worker | 10045 W Lisbon Ave, Wauwatosa, WI 53222-2446 | 2017-06-19 |
| 1336696939 | Ryan Bufton | Counselor | 10045 W Lisbon Ave, Wauwatosa, WI 53222-2446 | 2016-09-01 |
| 1477904852 | Katharina Maria Hren | Counselor | 10045 W Lisbon Ave, Wauwatosa, WI 53222-2446 | 2016-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101673 | Dalaina Y Holliman | Technician | 7719 W Fiebrantz Ave, Milwaukee, WI 53222 | 2019-08-30 |
| 1083183016 | Umenia Marie White | Respite Care | 7726 W. Center Street, Apt 1, Milwaukee, WI 53222 | 2018-11-20 |
| 1003399445 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 11450 W. Burleigh St, Wauwatosa, WI 53222 | 2018-09-12 |
| 1558852673 | Joseph Fleming | Physical Therapist | 11450 W Burleigh St, Ste 120, Wauwatosa, WI 53222 | 2018-05-24 |
| 1942739206 | Yolanda D. Burdine | Licensed Practical Nurse | 8327 W. Center St., Apt. 2, Milwaukee, WI 53222 | 2017-06-08 |
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1477097269 | Benjamin David Kluge | Pharmacist | 11111 W Burleigh Rd, Wauwatosa, WI 53222 | 2016-12-13 |
| 1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
| 1598218562 | Riley's Residential Home Care, LLC | In Home Supportive Care | 10111 W. Capitol Dr, Wauwatosa, WI 53222 | 2016-07-26 |
| 1346696796 | Respiratory and Sleep Services LLC | Durable Medical Equipment & Medical Supplies | 6529 W Fond Du Lac Avenue, Milwaukee, WI 53222 | 2016-05-04 |
| Find all providers in zip 53222 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047625 | Jessica Marie Key | Counselor | 5805 W Wells St, Wauwatosa, WI 53213-3239 | 2020-09-12 |
| 1235793795 | Brittany Howell | Counselor | 12201 W Burleigh St Ste 11, Wauwatosa, WI 53222-3102 | 2019-04-30 |
| 1841792678 | Anna Marie Eickstaedt | Counselor | 7463 Harwood Ave Apt 1, Wauwatosa, WI 53213-2663 | 2018-03-07 |
| 1366823635 | Leah Oreilly | Counselor | 2153 N 63rd St, Wauwatosa, WI 53213-2054 | 2015-06-12 |
| 1528364825 | Chris Ann Drosdick | Counselor | 3800 N. Mayfair Rd., Lutheran Counseling & Family Services of Wi Inc, Wauwatosa, WI 53222-2213 | 2011-02-03 |
| 1144552886 | Andrea Arciszewski | Counselor | 10045 West Lisbon Avenue, Wauwatosa, WI 53222-2446 | 2010-02-05 |
| 1093870370 | Empower Counseling of Milwaukee, LLC | Counselor | 2825 N Mayfair Rd Ste 209, Wauwatosa, WI 53222-4406 | 2006-12-27 |
| 1043228505 | The Redi Clinic of Wauwatosa, Sc | Counselor | 2500 N. Mayfair Rd, Ste 600, Wauwatosa, WI 53226 | 2006-08-03 |
| 1730788340 | Be Free Counseling Services LLC | Counselor | 12201 W Burleigh St Ste 11, Wauwatosa, WI 53222-3102 | 2020-10-23 |
| 1144835265 | Katheryn Lynn Knapp | Counselor | 10045 W Lisbon Ave, Wauwatosa, WI 53222-2446 | 2020-09-15 |
| Find all providers in WAUWATOSA | ||||
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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.