MARY BERYL GAGNON (NPI# 1972707271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972707271 |
| Entity Type | Individual |
| Full Name | MARY BERYL GAGNON |
| Credential | B.A. |
| Practice Address |
4929 W Fond Du Lac Ave Milwaukee WI 53216-2324 |
| Mailing Address |
4223 W Martin Dr Apt. 302 Milwaukee WI 53208-2762 |
| Practice Telephone | 4148716122 |
| Mailing Telephone | 4149337588 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528376605 | Mary A Gagnon | Marriage & Family Therapist | 306 Rodman Rd, Auburn, ME 04210-3830 | 2010-09-22 |
| 1629308242 | Mary Elizabeth Gagnon | Counselor | 3406 Glacier Hwy, Juneau, AK 99801-9501 | 2010-01-04 |
| 1952583445 | Mary Lou Gagnon | Nurse Anesthetist, Certified Registered | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2007-11-27 |
| 1871601948 | Mary Ann Gagnon | Nurse Practitioner | 31 Colcord St, South Berwick, ME 03908-1004 | 2006-08-28 |
| Street Address |
4929 W FOND DU LAC AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53216-2324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952465783 | Susan Beverly Collyard | Counselor | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2006-12-19 |
| 1881236057 | Nyairah Shana Abdullah | Case Manager/Care Coordinator | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2019-10-09 |
| 1508408626 | Shelby Wilson | Counselor | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2019-10-09 |
| 1639711856 | Ayasha Nichelle Marshall | Case Manager/Care Coordinator | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2019-10-09 |
| 1669932398 | Latasha N Woods | Case Manager/Care Coordinator | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2019-03-20 |
| 1700369212 | Esma Yvonne Mitchell | Case Manager/Care Coordinator | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2018-09-11 |
| 1053894584 | Nicole T. Gail | Case Manager/Care Coordinator | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2018-09-11 |
| 1124501655 | Dorothy S. Stevenson | Case Manager/Care Coordinator | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2018-09-11 |
| 1417430158 | Kristina Marie Schramkowski | Case Manager/Care Coordinator | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2018-09-10 |
| 1043722861 | Joan Patricia Roseman | Case Manager/Care Coordinator | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2017-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750906137 | Lilshana Woods | Technician | 3946 N 52nd St, Milwaukee, WI 53216 | 2020-06-11 |
| 1063981710 | Jon Maurice Smoots | Prevention Professional | 7710 W. Casper Street, Milwaukee, WI 53216 | 2018-11-23 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| 1457841066 | Rebeka Fried | Occupational Therapist | 3134 N 53rd St, Milwaukee, WI 53216 | 2018-05-18 |
| 1952831497 | Nina Marie Evans | Home Health Aide | 6815 W. Capitol Drive Suite 117, Milwaukee, WI 53216 | 2017-06-18 |
| 1578009080 | Annette L Veasey | Counselor | 4222 W Capitol Dr Ste 308, Milwaukee, WI 53216 | 2017-01-09 |
| 1295277143 | Gentle Hands Home Healthcare | Home Health | 6815 N. 68th Street, Milwaukee, WI 53216 | 2016-11-09 |
| 1639622780 | Luisa Julia Morales | Counselor | 5228 Fond Du Lac Ave, Milwaukee, WI 53216 | 2016-07-25 |
| 1568811776 | Eye-care Home Health Care | In Home Supportive Care | 6221 W Keefe Pkwy, Milwaukee, WI 53216 | 2016-06-08 |
| 1013382167 | Helens Supportive Services | Home Health | 6222 W Capitol Drive Sutie 200c, Milwaukee, WI 53216 | 2015-12-01 |
| Find all providers in zip 53216 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1407465701 | Lashana Marie Vance | Counselor | 1311 S 93rd St, Milwaukee, WI 53214-2714 | 2020-07-23 |
| 1295358430 | Karmelita Moore | Counselor | 620 N 76th St, Milwaukee, WI 53213-3508 | 2020-05-22 |
| 1245871557 | Neyel Powell | Counselor | 1849 N Martin Luther King Dr Ste 101, Milwaukee, WI 53212-3639 | 2019-10-08 |
| 1891255782 | Demetrius Levance Anderson Sr. | Counselor | 7732 N 80th St, Milwaukee, WI 53223-3810 | 2019-03-25 |
| 1639642382 | Shaquita Glenn | Counselor | 1845 N Farwell Ave Ste 301, Milwaukee, WI 53202-1715 | 2019-01-05 |
| 1992274070 | Amy Lynn Geyser | Counselor | 204 E Capitol Dr Ste 100, Milwaukee, WI 53212-1200 | 2018-11-18 |
| 1467931691 | The Salvation Army - Wisconsin and Upper Michigan | Counselor | 1730 N 7th Street, Milwaukee, WI 53205 | 2018-08-08 |
| Find all providers in MILWAUKEE | ||||
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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.