MR. BEDFORD HINES (NPI# 1942255104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942255104 |
| Entity Type | Individual |
| Full Name | MR. BEDFORD HINES |
| Credential | M.A. |
| Practice Address |
103 W. College Ave. Suite 815 Appleton WI 54911 |
| Practice Telephone | 9207331992 |
| Practice Fax Number | 9207331866 |
| Mailing Telephone | 9207331992 |
| Mailing Fax Number | 9207331866 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2236125 | WI | Behavioral Health & Social Service Providers |
| Street Address |
103 W. COLLEGE AVE. SUITE 815 |
| City | APPLETON |
| State | WI |
| Zip Code | 54911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962633 | Amy Felice Woolf | Counselor | 6 Northbreeze Cir, Appleton, WI 54911-1247 | 2020-04-28 |
| 1649819145 | Ellen J. Lutz | Counselor | 2031 E Calumet St., Appleton, WI 54915-4742 | 2019-12-31 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1487124848 | Kathleen N Huskey | Counselor | 516 E Wisconsin Ave, Appleton, WI 54911-4863 | 2018-11-28 |
| 1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
| 1972915700 | Adalia Maritza Jansen | Counselor | 3701 E Evergreen Dr Ste 260, Appleton, WI 54913-7402 | 2014-05-28 |
| 1275809352 | A Single Step, LLC | Counselor | 821 E 1st Ave Ste 5, Appleton, WI 54911-1586 | 2012-03-22 |
| 1811216484 | Jodi Lynn Huebner | Counselor | 1045 N Lynndale Dr Ste 2d, Appleton, WI 54914-3048 | 2010-05-21 |
| 1316186141 | Kate Mary Mccarthy | Counselor | 3003 N Richmond St, Appleton, WI 54911-1148 | 2009-02-18 |
| 1144487620 | Evie Kalyani Lafountain | Counselor | 5506 Michaels Dr Apt 1, Appleton, WI 54913-8648 | 2008-05-21 |
| Find all providers in APPLETON | ||||
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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.