TRACI L BROWN (NPI# 1982830121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982830121 |
| Entity Type | Individual |
| Full Name | TRACI L BROWN |
| Other Name | TRACI L VAN REMORTEL |
| Credential | LPC |
| Practice Address |
1095 Midway Rd Menasha WI 54952-1115 |
| Practice Telephone | 9207202300 |
| Practice Fax Number | 9207203806 |
| Mailing Telephone | 9207203700 |
| Mailing Fax Number | 9207203806 |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4053 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40930300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285240150 | Traci Lee Brown | Physical Therapist | 1404 Shenandoah Dr, Watkinsville, GA 30677-8373 | 2020-09-16 |
| 1144755802 | Traci Brown | Marriage & Family Therapist | 5505 Grissom Rd Ste 103, San Antonio, TX 78238-3024 | 2017-05-01 |
| 1841504230 | Traci Antoinette Brown | Case Manager/Care Coordinator | 3700 Ross Ave, Dallas, TX 75204-5422 | 2010-07-28 |
| 1518022805 | Traci Brown | Registered Nurse | 163 Libbey Parkway, Suite 301, Weymouth, MA 02189-3118 | 2006-12-27 |
| Street Address |
1095 MIDWAY RD |
| City | MENASHA |
| State | WI |
| Zip Code | 54952-1115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619968773 | Joanna Morgan | Counselor | 1095 Midway Rd, Menasha, WI 54952-1115 | 2005-10-28 |
| 1023628203 | Yvette Samantha Goebel | Psychologist | 1095 Midway Rd, Menasha, WI 54952-1115 | 2020-08-03 |
| 1861034456 | Noelle R Pannebaker | Counselor | 1095 Midway Rd, Menasha, WI 54952-1115 | 2019-10-15 |
| 1073164307 | Betty J Atchison | Counselor | 1095 Midway Rd, Menasha, WI 54952-1115 | 2019-09-27 |
| 1568018604 | Melissa A Schmidt | Counselor | 1095 Midway Rd, Menasha, WI 54952-1115 | 2019-08-14 |
| 1114571999 | Tammy M Flynn | Nurse Practitioner | 1095 Midway Rd, Menasha, WI 54952-1115 | 2019-07-30 |
| 1407410418 | Rebecca Ann Kersten | Counselor | 1095 Midway Rd, Menasha, WI 54952-1115 | 2019-04-24 |
| 1346718749 | Greg A Delaney | Counselor | 1095 Midway Rd, Menasha, WI 54952-1115 | 2018-11-05 |
| 1386135614 | Leslie J Steckbauer | Counselor | 1095 Midway Rd, Menasha, WI 54952 | 2018-05-22 |
| 1972006831 | Amanda Jean Swaw-wyer | Counselor | 1095 Midway Rd, Menasha, WI 54952 | 2018-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275776239 | Sharon Louise Crowe | Dental Hygienist | 1814 North Appleton Road, Menasha, WI 54952 | 2009-04-07 |
| 1003056110 | Nicole Marie Guyette | Dental Hygienist | 814 N. Appleton Road, Menasha, WI 54952 | 2009-03-02 |
| 1760627624 | Jan Charles Sarnecki | Orthopaedic Surgery | 1814 N. Appleton Road, Menasha, WI 54952 | 2008-12-08 |
| 1588828297 | Lesley R Lathrop | Registered Nurse | 1764 Oakridge Court, Menasha, WI 54952 | 2008-07-11 |
| 1699965137 | Lisa Randerson | Counselor | 1427c Province Terrace, Menasha, WI 54952 | 2007-07-31 |
| 1689748675 | Lisa Lynn Lang Riegel | Dentist | 1155 Wittman Drive, Menasha, WI 54952 | 2006-11-20 |
| 1164596144 | Robert Charles Lang | Dentist | 1155 Wittmann Drive, Menasha, WI 54952 | 2006-11-20 |
| 1366527947 | Karen Patricia Schmidt | Case Manager/Care Coordinator | 1810 Appleton Road, Menasha, WI 54952 | 2006-10-25 |
| 1376647388 | Goodwill Industries of North Central Wi | Counselor | 1800 Appleton Road, Menasha, WI 54952 | 2006-09-11 |
| 1306350970 | Tayler Leigh Maulick | Physical Therapy Assistant | 1700 Midway Rd, Menasha, WI 54952 | 2017-11-19 |
| Find all providers in zip 54952 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538408141 | Chad Thomas Lorge | Counselor | 1478 Kenwood Dr Ste 1, Menasha, WI 54952-1161 | 2013-02-04 |
| 1386875755 | Brian John Lefeber | Counselor | W6254 Us Highway 10 114, Menasha, WI 54952-9638 | 2009-08-04 |
| 1336206671 | Kurt L. Mahnke | Counselor | 1477 Kenwood Ctr, Menasha, WI 54952-1160 | 2007-01-03 |
| 1437231149 | Linda Hillary | Counselor | 1476 Kenwood Ctr, Menasha, WI 54952-1134 | 2006-10-20 |
| 1992319925 | Peace In Colorful Dynamics, LLC | Counselor | 1477 Kenwood Dr Ste 104, Menasha, WI 54952-1160 | 2020-09-08 |
| 1861034456 | Noelle R Pannebaker | Counselor | 1095 Midway Rd, Menasha, WI 54952-1115 | 2019-10-15 |
| 1568018604 | Melissa A Schmidt | Counselor | 1095 Midway Rd, Menasha, WI 54952-1115 | 2019-08-14 |
| 1588141360 | Brandon Lee Franzke | Counselor | 1810 Appleton Rd, Menasha, WI 54952-1164 | 2018-07-24 |
| 1437650397 | One Love:harmonizing Mind, Body, Spirit | Counselor | 1366 Appleton Rd, Menasha, WI 54952-1504 | 2018-02-26 |
| 1588164099 | Alissa Ruth Lapp | Counselor | W6254 Us Highway 10 114, Menasha, WI 54952-9638 | 2018-02-20 |
| Find all providers in MENASHA | ||||
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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.