JILL L KREJCIE (NPI# 1942467220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942467220 |
| Entity Type | Individual |
| Full Name | JILL L KREJCIE |
| Credential | LMFT |
| Practice Address |
1141 W Main Ave Ste 201 De Pere WI 54115-1695 |
| Mailing Address |
1210 Fourier Dr Ste 100 Madison WI 53717-1969 |
| Practice Telephone | 9203381610 |
| Practice Fax Number | 9203381616 |
| Mailing Telephone | 6086629327 |
| Mailing Fax Number | 6086629041 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 796-124 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43737400 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Crooks St, Green Bay, WI 543014527 | 9204364360 | 9204373540 |
| Street Address |
1141 W MAIN AVE STE 201 |
| City | DE PERE |
| State | WI |
| Zip Code | 54115-1695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497319743 | Nicole A Stotzheim | Behavioral Analyst | 1141 W Main Ave Ste 201, De Pere, WI 54115-1695 | 2019-04-23 |
| 1346803814 | Karen J Konop | Behavioral Analyst | 1141 W Main Ave Ste 201, De Pere, WI 54115-1695 | 2019-04-19 |
| 1740623487 | Vanessa Lynn Knippel | Marriage & Family Therapist | 1141 W Main Ave Ste 201, De Pere, WI 54115-1695 | 2013-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871138073 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 723 Main Ave, Depere, WI 54115 | 2019-11-12 |
| 1568928083 | Stephanie J Towle | Speech-Language Pathologist | 200 S. 9th St, De Pere, WI 54115 | 2019-02-20 |
| 1164988499 | Maribel L Zoeller | Physical Therapy Assistant | 200 S. 9th Street, Depere, WI 54115 | 2019-02-12 |
| 1255897641 | Elizabeth Eberius | Acupuncturist | 3311 S. Packerland Drive, Suite A #20, De Pere, WI 54115 | 2019-02-11 |
| 1548750458 | Jordyn E Arndt | Physical Therapist | 1601 Lawrence Dr Ste 100, De Pere, WI 54115 | 2018-05-16 |
| 1588153514 | David Nowakowski | Registered Nurse | 158 Cavil Way, De Pere, WI 54115 | 2018-05-04 |
| 1457858557 | Rennes Assisted Living Corp. | Assisted Living Facility | 1150 Lois Street, Depere, WI 54115 | 2018-04-06 |
| 1518473966 | Kirsten Lynne Masrelian | Behavioral Analyst | 2073 Lawrence Dr, De Pere, WI 54115 | 2017-12-21 |
| 1285146050 | Sydney Marie Schultz | Physical Medicine & Rehabilitation | 200 S. Ninth Street, De Pere, WI 54115 | 2017-11-01 |
| 1134666514 | Nicole L Bickham | Psychologist | 416 George St Ste 108, De Pere, WI 54115 | 2017-01-24 |
| Find all providers in zip 54115 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144679481 | Kathleen Schiltz | Marriage & Family Therapist | 3860 Monroe Rd, De Pere, WI 54115-8399 | 2016-06-07 |
| 1740623487 | Vanessa Lynn Knippel | Marriage & Family Therapist | 1141 W Main Ave Ste 201, De Pere, WI 54115-1695 | 2013-04-11 |
| 1376889709 | Ashley Nischke | Marriage & Family Therapist | 3860 Monroe Rd, De Pere, WI 54115-8399 | 2012-12-12 |
| 1043562648 | Danielle Casper | Marriage & Family Therapist | 3860 Monroe Rd, De Pere, WI 54115-8399 | 2012-10-05 |
| 1750305462 | Lisa M Tutskey | Marriage & Family Therapist | 3860 Monroe Rd, De Pere, WI 54115-8399 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105619 | Matthew Michael Richard Kobriger | Marriage & Family Therapist | 1477 S Knowles Ave Suite 120, New Richmond, WI 54017 | 2020-08-22 |
| 1700494473 | Kelsey Card | Marriage & Family Therapist | 702 N Blackhawk Ave Ste 215, Madison, WI 53705-3357 | 2020-07-20 |
| 1376161489 | Brenda R Lovick | Marriage & Family Therapist | 454 E Church Rd, Cambridge, WI 53523-9632 | 2020-07-06 |
| 1922624139 | Madeline Shay | Marriage & Family Therapist | 629 River St Ste C, Belleville, WI 53508-9189 | 2020-06-23 |
| 1437773736 | Andrew Clayton | Marriage & Family Therapist | 440 Science Dr Ste 300, Madison, WI 53711-1064 | 2020-06-02 |
| 1518580638 | Caitlin Stark | Marriage & Family Therapist | 518 Algoma St, Madison, WI 53704-4813 | 2020-05-22 |
| 1366065757 | Coltan James Schoenike | Marriage & Family Therapist | 500 12th Ave W Apt 30, Menomonie, WI 54751-2445 | 2020-05-20 |
| 1154957314 | William Jay Blevins | Marriage & Family Therapist | 2564 Branch St Ste B5, Middleton, WI 53562-2850 | 2020-03-19 |
| 1578196168 | Psychotherapy Center of Waunakee LLC | Marriage & Family Therapist | 110 Baker St Ste C, Waunakee, WI 53597-2707 | 2020-02-21 |
| 1194355230 | Michelle Nicole King | Marriage & Family Therapist | 757 Martin Ave, Hudson, WI 54016-7762 | 2020-01-16 |
| Find all providers with the same taxonomy | ||||
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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.