MR. JOSEPH A. MUCHKA (NPI# 1962582171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962582171 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH A. MUCHKA |
| Credential | LPC, NCC, CADCIII |
| Practice Address |
1177 Quail Ct Suite 101 Pewaukee WI 53072-3790 |
| Practice Telephone | 2627461122 |
| Practice Fax Number | 2627461133 |
| Mailing Telephone | 2627461122 |
| Mailing Fax Number | 2627461133 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2135 | WI | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
3082-125 | WI | Behavioral Health & Social Service Providers |
| Street Address |
1177 QUAIL CT SUITE 101 |
| City | PEWAUKEE |
| State | WI |
| Zip Code | 53072-3790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275582496 | Kerk Physical Therapy Specialists Sc | Clinic/Center | 1177 Quail Ct, Ste 200, Pewaukee, WI 53072 | 2006-05-06 |
| 1245893593 | Dannielle Patricia Wunderlich | Physical Therapist | 1177 Quail Ct, Pewaukee, WI 53072-3790 | 2019-04-22 |
| 1568726164 | Carl Goehner | Physical Therapist | 1177 Quail Ct, Suite 200, Pewaukee, WI 53072-3790 | 2012-06-27 |
| 1205107794 | Philip Chard | Social Worker | 1177 Quail Ct, Suite 101, Pewaukee, WI 53072-3790 | 2012-01-16 |
| 1275822397 | Nicholas Dillon | Counselor | 1177 Quail Ct, Suite 203, Pewaukee, WI 53072-3790 | 2011-03-29 |
| 1598920902 | Susan Foley Counseling | Counselor | 1177 Quail Ct, Suite 101, Pewaukee, WI 53072-3790 | 2008-07-24 |
| 1043344500 | Lilita V. Hardes | Social Worker | 1177 Quail Ct, #101, Pewaukee, WI 53072-3790 | 2007-03-15 |
| 1962566026 | Susan Foley | Counselor | 1177 Quail Ct, Suite 101, Pewaukee, WI 53072 | 2006-12-21 |
| 1710992268 | Lauri Green M.d. S.c. | Psychiatry & Neurology | 1177 Quail Ct, Suite 101, Pewaukee, WI 53072-3790 | 2006-07-30 |
| 1922045970 | Lauri Theresa Green | Psychiatry & Neurology | 1177 Quail Ct, Suite 101, Pewaukee, WI 53072-3790 | 2006-05-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740805423 | Froedtert Health Neighborhood Hospital, LLC | General Acute Care Hospital | 209 Pewaukee Rd, Pewaukee, WI 53072 | 2020-06-09 |
| 1871122556 | Mary Kofigah | Nurse Practitioner | 21150 W. Capital Dr., Brookfield, WI 53072 | 2020-04-05 |
| 1609436559 | Brianna Kelly Bates | Optometrist | 1440 Capitol Drive, Suite B, Pewaukee, WI 53072 | 2019-06-13 |
| 1932767316 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1440 Capital Drive, Suite B, Pewaukee, WI 53072 | 2019-05-31 |
| 1417426925 | Edward Dow | Psychologist | W268n1988 Shooting Star Road, Pewaukee, WI 53072 | 2018-11-14 |
| 1346664869 | Jane Sweney | Counselor | 325 Forest Grove Drive, Pewaukee, WI 53072 | 2014-02-05 |
| 1093082182 | Kristin Elizabeth Thieneman | Pharmacist | 443 Pewaukee Road, Pewaukee, WI 53072 | 2011-11-17 |
| 1922318393 | Ariane Machin | Psychologist | 161 W. Wisconsin Ave #2b, Pewaukee, WI 53072 | 2010-10-19 |
| 1083930879 | Scott Robert Borkenhagen | Student in an Organized Health Care Education/Training Program | 384 Willow Grove Dr., Unit D, Pewaukee, WI 53072 | 2010-04-19 |
| 1912174988 | Robert Thomas Lynch | Dentist | 234 Oakton Ave, Pewaukee, WI 53072 | 2008-05-09 |
| Find all providers in zip 53072 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881177699 | Jamie-lyn Marie Palama | Counselor | N27w23957 Paul Rd Ste 101, Pewaukee, WI 53072-6223 | 2018-09-09 |
| 1275822397 | Nicholas Dillon | Counselor | 1177 Quail Ct, Suite 203, Pewaukee, WI 53072-3790 | 2011-03-29 |
| 1578732921 | Cynthia Ann Midcalf | Counselor | 325 Forest Grove Dr, Suite 201, Pewaukee, WI 53072-3793 | 2008-02-29 |
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|---|---|---|---|---|
| 1891396255 | Cassandra C Coates | Counselor | 134 Main St Apt 117, Racine, WI 53403-4623 | 2020-11-03 |
| 1649879982 | Veronicia S Green | Counselor | 2821 N Vel R Phillips Ave Ste 131, Milwaukee, WI 53212-2370 | 2020-10-19 |
| 1578160974 | Jennifer A Nyman | Counselor | 2408 N 89th St, Wauwatosa, WI 53226-1804 | 2020-10-08 |
| 1558977991 | Guided Solutions Therapy, LLC | Counselor | 126 W Holum St, Deforest, WI 53532-1108 | 2020-09-21 |
| 1396359337 | Sarah Luetzow Marten | Counselor | 6441 Enterprise Ln Ste 101, Madison, WI 53719-1180 | 2020-09-08 |
| 1891313656 | Kayla Lynn Fazzari | Counselor | N168w20964 Main St, Jackson, WI 53037-9634 | 2020-07-08 |
| 1518580182 | Michele Denise Perron | Counselor | 912 Baxter Ave, Superior, WI 54880-1735 | 2020-05-18 |
| 1003438391 | Kimberly Rose Schlomann | Counselor | W227s10580 River Ave, Big Bend, WI 53103-9563 | 2020-05-10 |
| 1477174381 | Sarah Ross | Counselor | 302 West Lake St., Friendship, WI 55934 | 2020-05-01 |
| 1124657721 | Joanne Berthelsen Lcsw LLC | Counselor | 830 Armour Rd Ste 2, Oconomowoc, WI 53066-3959 | 2020-04-06 |
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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.