RICHARD ALLEN MOLDENHAUER (NPI# 1962972695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962972695 |
| Entity Type | Individual |
| Full Name | RICHARD ALLEN MOLDENHAUER |
| Credential | LADC, LPCC,LCADC |
| Practice Address |
W8972 520th Ave Ellsworth WI 54011-4887 |
| Practice Telephone | 7152202078 |
| Mailing Telephone | 7152202078 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
300047 | MN | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
CC00060 | MN | Behavioral Health & Social Service Providers |
| Street Address |
W8972 520TH AVE |
| City | ELLSWORTH |
| State | WI |
| Zip Code | 54011-4887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942864186 | Cb Therapy Group, LLC | Social Worker | 187 E Main Street, Ellsworth, WI 54011 | 2019-04-23 |
| 1124548201 | Samantha K Johnson | Chiropractor | 187 East Main, Ellsworth, WI 54011 | 2017-06-21 |
| 1609047869 | Shopko Stores Operating Co LLC | Pharmacy | 598 Lucas Lane, Ellsworth, WI 54011 | 2008-03-17 |
| 1134301955 | Ellsworth Community School District | Local Education Agency (LEA) | 300 Hillcrest St, Box 1500, Ellsworth, WI 54011 | 2007-12-04 |
| 1730219239 | Krisan Shaw | Dentist | 501 W. Lucas Lane, Ellsworth, WI 54011 | 2007-03-06 |
| 1770659658 | Pierce County Dept of Human Services | Community/Behavioral Health | 412 W Kinne Street, Ellsworth, WI 54011 | 2006-11-24 |
| 1629633912 | Village Pharmacy Healthcare Inc | Pharmacy | 157 E Main St, Ellsworth, WI 54011 | 2019-05-02 |
| 1396162020 | Shaw Family Dental Sc | Dentist | 501 W. Lucas Lane, Ellsworth, WI 54011 | 2014-03-19 |
| 1093085680 | Amy Alissa Kohls | Occupational Therapy Assistant | 403 N Maple St, Ellsworth Care Center, Ellsworth, WI 54011 | 2012-01-12 |
| 1659557510 | Ellsworth Chiropractic Inc | Chiropractor | 187 E Main St, Ellsworth, WI 54011 | 2008-01-10 |
| Find all providers in zip 54011 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912481052 | Amanda Lee Day | Counselor | Open Door Recovery Center, 8 Old Mill Road, Ellsworth, ME 04605-0958 | 2018-09-24 |
| 1932602745 | Susan Polyot | Counselor | 248 State St Ste 13b, Ellsworth, ME 04605-1850 | 2018-03-18 |
| 1851629851 | Astor Charlene Gillis | Counselor | 59 Franklin St., Suite B, Ellsworth, ME 04605 | 2009-12-02 |
| 1659606168 | Steven E. Steinhaus | Counselor | 525 E 3rd St, Ellsworth, KS 67439-3618 | 2009-10-16 |
| 1164586236 | Gina Marie Veits | Counselor | 8 Old Mill Rd, Ellsworth, ME 04605-0958 | 2006-12-21 |
| 1902407315 | Sally Brann | Counselor | 70 Kingsland Xing Ste A, Ellsworth, ME 04605-2570 | 2020-11-03 |
| 1154956043 | Joan Piskura | Counselor | 70 Kingsland Xing Ste A, Ellsworth, ME 04605-2570 | 2020-03-11 |
| 1487159075 | Shannon Lee Small | Counselor | 248 State St Ste 13b, Ellsworth, ME 04605-1850 | 2018-03-27 |
| 1013319375 | Steinhaus Counseling, LLC | Counselor | 525 E 3rd St, Ellsworth, KS 67439-3618 | 2014-09-18 |
| 1235538687 | Richard K Horton | Counselor | 8 Old Mill Road, Ellsworth, ME 04605-0958 | 2014-08-21 |
| Find all providers in ELLSWORTH | ||||
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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.