PATRICIA ROSE GUTIERREZ (NPI# 1952577488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952577488 |
| Entity Type | Individual |
| Full Name | PATRICIA ROSE GUTIERREZ |
| Credential | CSAC, ICS, LPC |
| Practice Address |
147 Randall St Waukesha WI 53188-3528 |
| Practice Telephone | 2625108490 |
| Mailing Telephone | 2625108490 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11046 | WI | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11046-132 | WI | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
7295-125 | WI | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
7295-125 | Behavioral Health & Social Service Providers | |
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39384900 | 05 | |
| WI | 1952577488 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043711245 | Patricia Gutierrez | Technician | 5020 Alta Dr Ste B, Las Vegas, NV 89107-3940 | 2018-02-22 |
| 1114469830 | Patricia Gutierrez | Occupational Therapist | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2016-11-11 |
| 1477000214 | Patricia Gutierrez | Peer Specialist | 1031 Brookhaven Rd, Franklin, KY 42134-2743 | 2016-09-09 |
| 1548622830 | Patricia Maria Gutierrez | Marriage & Family Therapist | 8550 Balboa Blvd Ste 150, Northridge, CA 91325 | 2016-03-24 |
| 1174873038 | Patricia A Gutierrez | Case Manager/Care Coordinator | 750 Morris Rd Se, Los Lunas, NM 87031-5242 | 2012-09-18 |
| 1457619363 | Patricia Gutierrez | Counselor | 2309 Daly St, Los Angeles, CA 90031-2230 | 2012-04-27 |
| 1831491570 | Patricia Kathleen Gutierrez | Nurse Practitioner | 6102 82nd St Ste 5, Lubbock, TX 79424-0803 | 2010-12-01 |
| 1619121761 | Patricia Kunitzky Gutierrez | Counselor | 1200 Deltona Blvd, Deltona, FL 32725-6306 | 2008-11-14 |
| 1649424995 | Patricia Gutierrez | Nurse Practitioner | 18350 Roscoe Blvd Ste 401, Northridge, CA 91325-4169 | 2008-11-13 |
| 1396885588 | Patricia Gutierrez | Nurse Practitioner | 15998 Quantico Rd Ste A, Apple Valley, CA 92307-1302 | 2007-02-07 |
| Street Address |
147 RANDALL ST |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-3528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771944 | Lisa M Schneider | Counselor | 1022 River Place Blvd Unit 4, Waukesha, WI 53189-7890 | 2020-08-18 |
| 1407384969 | Angela Kau | Counselor | 2607 N Grandview Blvd Ste Suite108, Waukesha, WI 53188-1686 | 2017-05-30 |
| 1891037776 | Lindsay Marie Allard | Counselor | S26w26840 Mac Arthur Rd, Waukesha, WI 53188-5431 | 2013-03-19 |
| 1235251083 | Nancy Louise Raboin | Counselor | 414 W Moreland Blvd Ste 205, Waukesha, WI 53188-2441 | 2007-04-04 |
| 1598899890 | Joyce Lynn | Counselor | 2717 N. Grandview Blvd., Suite 201, Waukesha, WI 53188 | 2007-03-16 |
| 1760580328 | Laura Lynn Pulsifer | Counselor | 101 W. Broadway 2nd Floor, Waukesha, WI 53186 | 2006-09-20 |
| 1801818950 | Women & Families' Psychotherapy Resources, Inc | Counselor | 707 W. Moreland Blvd., Suite 5, Waukesha, WI 53188 | 2006-07-24 |
| 1760408876 | Horizon Healthcare, Inc | Counselor | 217 Wisconsin Ave, Suite 211, Waukesha, WI 53186-4946 | 2006-07-14 |
| 1568404671 | Family Service Agency of Waukesha County, Inc. | Counselor | 101 W Broadway, 2nd Floor, Waukesha, WI 53186 | 2006-06-12 |
| 1346223740 | Diane M Oman | Counselor | 741 N Grand Ave, Ste 210, Waukesha, WI 53186-4820 | 2005-11-21 |
| Find all providers in WAUKESHA | ||||
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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.