JONAH MICAL ANDERSON (NPI# 1972081347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972081347 |
| Entity Type | Individual |
| Full Name | JONAH MICAL ANDERSON |
| Credential | LPC-IT, MA |
| Practice Address |
300 Cottonwood Ave Ste 8 Hartland WI 53029-2043 |
| Practice Telephone | 2623020016 |
| Mailing Telephone | 2623020016 |
| Enumeration Date | 2018-07-29 |
| Last Update Date | 2018-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
559767 | WI | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
559767 | WI | Behavioral Health & Social Service Providers |
| Street Address |
300 COTTONWOOD AVE STE 8 |
| City | HARTLAND |
| State | WI |
| Zip Code | 53029-2043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042539 | Marjorie Stuart | Technician | 2410 Hirschman Lane, Hartland, WI 53029 | 2020-01-23 |
| 1063854149 | Madeline M Walter | Dentist | 231 Lawn Street, Modern Touch Dental, Hartland, WI 53029 | 2013-07-18 |
| 1801235403 | Kelly L.m. Newman | Dentist | 139 E. Capitol Dr., Hartland, WI 53029 | 2013-06-18 |
| 1124465323 | Ascension St Francis Hospital, Inc | General Acute Care Hospital | 609 River Meadow Drive, Hartland, WI 53029 | 2013-05-28 |
| 1528313384 | Kristina Johnson | Physical Therapist | 600 Hartbrook Dr Ste 111, Hartland, WI 53029 | 2012-07-18 |
| 1578822565 | Kacie Estes Walters | Chiropractor | 1120 James Dr Ste B, Hartland, WI 53029 | 2012-05-10 |
| 1639485428 | Lisa Renae Herpolsheimer | Social Worker | W331 N9103 West Shore Drive, Hartland, WI 53029 | 2010-08-31 |
| 1063669943 | John Light Atlee Sr. | Anesthesiology | W309 N6698 Caddy Court, John L. Atlee, M.d., Hartland, WI 53029 | 2008-08-22 |
| 1598947053 | Merton Community School District | Local Education Agency (LEA) | W28320 Sussex Road, Hartland, WI 53029 | 2007-11-27 |
| 1407057441 | George Chris Panos | Dentist | N 67 W 31027 Club Circle East, Hartland, WI 53029 | 2007-05-29 |
| Find all providers in zip 53029 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922294040 | Jacqueline Edwina Dombrowski | Counselor | 300 Cottonwood Ave Ste 4, Hartland, WI 53029-2043 | 2007-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446430 | Caley Kiser | Counselor | 1245 Cheyenne Ave Ste 200, Grafton, WI 53024-9323 | 2020-10-28 |
| 1467051706 | Emily Worth | Counselor | 1426 Hiawatha Dr, Beaver Dam, WI 53916-1042 | 2020-10-19 |
| 1740888544 | Rene Beth Domask | Counselor | 760 Quarterdeck Ln # 2102b, Sturgeon Bay, WI 54235-3639 | 2020-10-14 |
| 1073110631 | Be Insightful Counseling LLC | Counselor | 2901 35th St Lowr Suiteb, Kenosha, WI 53140-5117 | 2020-10-07 |
| 1447867759 | Veronica Mary Fox | Counselor | N79w12855 Fond Du Lac Avenue, Menomonee Falls, WI 53051-4409 | 2020-09-30 |
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1265047625 | Jessica Marie Key | Counselor | 5805 W Wells St, Wauwatosa, WI 53213-3239 | 2020-09-12 |
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1477167658 | Aleksandra Miles Steinert | Counselor | 2025 E Greenwich Ave Unit 119, Milwaukee, WI 53211-4428 | 2020-09-03 |
| 1003420597 | Joshua A. Larson | Counselor | 316 N Milwaukee St Ste 325, Milwaukee, WI 53202-5895 | 2020-09-02 |
| 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.