SHELBY L. KANDZIORA (NPI# 1972038958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972038958 |
| Entity Type | Individual |
| Full Name | SHELBY L. KANDZIORA |
| Other Name | SHELBY L. MEYER |
| Credential | LPC-IT, SAC-IT |
| Practice Address |
903 Mineral Point Ave Janesville WI 53548-2970 |
| Practice Telephone | 6087566530 |
| Practice Fax Number | 6087416918 |
| Mailing Telephone | 6087566530 |
| Mailing Fax Number | 6087416918 |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
18012-130 | WI | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
3468-226 | WI | Behavioral Health & Social Service Providers |
| Street Address |
903 MINERAL POINT AVE |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53548-2970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811927205 | Mary T. Bonaccorsi | Nurse Practitioner | 903 Mineral Point Ave, Janesville, WI 53548-2970 | 2006-07-03 |
| 1417581745 | Tanya N. Olin | Registered Nurse | 903 Mineral Point Ave, Janesville, WI 53548-2970 | 2020-02-25 |
| 1396391728 | Briann N. Modos | Registered Nurse | 903 Mineral Point Ave, Janesville, WI 53548-2970 | 2019-08-12 |
| 1114579364 | Jessica A. Wallace | Registered Nurse | 903 Mineral Point Ave, Janesville, WI 53548-2970 | 2019-07-09 |
| 1811403769 | Rachel V. Sanderson | Counselor | 903 Mineral Point Ave, Janesville, WI 53548-2970 | 2017-12-14 |
| 1093255929 | Ashley A. Crull | Psychologist | 903 Mineral Point Ave, Janesville, WI 53548 | 2017-02-25 |
| 1639617855 | Stacy M. Condon | Social Worker | 903 Mineral Point Ave, Janesville, WI 53548-2970 | 2017-02-08 |
| 1841744216 | Kelly A. Janes | Counselor | 903 Mineral Point Ave, Janesville, WI 53548-2970 | 2016-08-15 |
| 1366892044 | Sara J Maly | Counselor | 903 Mineral Point Ave, Janesville, WI 53548-2970 | 2016-06-14 |
| 1033570882 | Rebecca L Davis | Counselor | 903 Mineral Point Ave, Janesville, WI 53548-2970 | 2016-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578846010 | Patricia Ann Sheets | Licensed Vocational Nurse | 316 N. Terrace St., Janbesville, WI 53548 | 2011-09-21 |
| 1760658983 | Kristy Kay Prentice Kerl | Dental Hygienist | 121 Jonathon Dr, Janesville, WI 53548 | 2008-05-07 |
| 1316005978 | City of Janesville | Emergency Medical Technician, Paramedic | 18 N Jackson St, Janesville, WI 53548 | 2006-12-05 |
| 1558464115 | Sarah Louise Hessenauer | Social Worker | 17 S. River St, Suite 254, Janesville, WI 53548 | 2006-09-07 |
| 1073548327 | Mary Katherine Cefalu | Registered Nurse | 17 S. River, Suite 254, Janesville, WI 53548 | 2006-07-12 |
| 1699707950 | Gary Lavern Jones | Counselor | 175 River, Suite 254, Janesville, WI 53548 | 2006-07-07 |
| 1295767424 | Michael Stuart Kaye | Clinical Neuropsychologist | 17 S River St Ste 254, Janesville, WI 53548 | 2006-07-07 |
| 1205864055 | Amy Laurie Roy | Counselor | 17 S River Suite 254, Janesville, WI 53548 | 2006-06-29 |
| 1518903566 | Leota I Larson | Psychologist | 17 S River, Suite 254, Janesville, WI 53548 | 2006-06-20 |
| 1760950414 | North Star Chiropractic LLC | Chiropractor | 21 S Jackson St, Ste 160, Janesville, WI 53548 | 2018-11-10 |
| Find all providers in zip 53548 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366911489 | Latoya Christina Anderson | Counselor | 1818 Pershing Pl, Janesville, WI 53546 | 2018-11-19 |
| 1467909630 | Tige Pollard | Counselor | 2012 Mole Ave, Janesville, WI 53548-1435 | 2016-09-06 |
| 1437451945 | Jocelyn Marie Mallon | Counselor | 17 S River St, Suite 254, Janesville, WI 53548-3860 | 2010-12-03 |
| 1770777898 | Catherine Samb | Counselor | 3530 N Cty Trk Hwy F, Janesville, WI 53547-1649 | 2007-08-31 |
| 1699770560 | Todd Allen Noggle | Counselor | 20 E Milwaukee St, Ste 210, Janesville, WI 53545-3061 | 2005-06-16 |
| 1548874456 | Amber J Wroblewski | Counselor | 17 S River St Ste 254, Janesville, WI 53548-3863 | 2020-09-08 |
| 1952922726 | Michelle Huczek | Counselor | 111 N Main St Ste 100, Janesville, WI 53545-3072 | 2020-05-02 |
| 1578108569 | Tamara Macneal | Counselor | 23 N Main St, Janesville, WI 53545-3039 | 2019-11-13 |
| 1003463589 | Amanda Mckeaton | Counselor | 17 S River St Ste 254, Janesville, WI 53548-3863 | 2019-08-20 |
| 1265916449 | Michelle Casey-schmidt | Counselor | 17 S River St Ste 254, Janesville, WI 53548-3863 | 2018-09-24 |
| Find all providers in JANESVILLE | ||||
| City | JANESVILLE |
| Zip Code | 53548 |
Please comment or provide details below to improve the information on SHELBY L. KANDZIORA.
| 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.