WADE KOSKI LLC (NPI# 1992106595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992106595 |
| Entity Type | Organization |
| Organization Name | WADE KOSKI LLC |
| Practice Address |
4402 S 68th St Suite #100 Greenfield WI 53220-3479 |
| Practice Telephone | 4144672477 |
| Practice Fax Number | 4143210552 |
| Mailing Telephone | 4144672477 |
| Mailing Fax Number | 4143210552 |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |
| Authorized Official Name | MR. WADE KOSKI (MEMBER) |
| Authorized Official Telephone | 4144672477 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40959600 | 05 |
| Street Address |
4402 S 68TH ST SUITE #100 |
| City | GREENFIELD |
| State | WI |
| Zip Code | 53220-3479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639258981 | Jason A Witt | Counselor | 4402 S 68th St, #100, Greenfield, WI 53220-3479 | 2006-11-06 |
| 1528503497 | Advanced Therapies LLC | Community/Behavioral Health | 4402 S 68th St, Ste104, Greenfield, WI 53220-3479 | 2016-12-30 |
| 1316496219 | Anni Cox Counseling Services, LLC | Community/Behavioral Health | 4402 S 68th St, Suite 100, Greenfield, WI 53220-3479 | 2016-10-03 |
| 1740686823 | Amy Lopez Counseling Services LLC | Clinic/Center | 4402 S 68th St, Suite 100, Greenfield, WI 53220-3479 | 2014-11-17 |
| 1922404482 | Andrea Kremer Therapy, LLC | Clinic/Center | 4402 S 68th St, Suite 100, Greenfield, WI 53220-3479 | 2014-11-11 |
| 1417352493 | Margaret Drake LLC | Clinic/Center | 4402 S 68th St, Suite 100, Greenfield, WI 53220-3479 | 2014-11-03 |
| 1760770390 | Tammy Giannopoulos | Social Worker | 4402 S 68th St, Greenfield, WI 53220-3479 | 2011-07-18 |
| 1639301104 | Amy Lynn Lopez | Counselor | 4402 S 68th St, Suite 100, Greenfield, WI 53220-3479 | 2009-08-18 |
| 1609992098 | Discovery & Recovery Clinic,inc. | Counselor | 4402 S 68th St, Suite 100, Greenfield, WI 53220-3479 | 2007-03-21 |
| 1407972730 | Andrea Mary Kremer | Social Worker | 4402 S 68th St, Suite 100, Greenfield, WI 53220-3479 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871061069 | Kathleen Elizabeth White | Orthotist | 6790 W. Layton Ave, Greenfield, WI 53220 | 2018-11-06 |
| 1992284087 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 4859 South 60th Street, Greenfield, WI 53220 | 2018-08-09 |
| 1609394220 | Aaron Park | Speech-Language Pathologist | 3540 S. 43rd St., Milwaukee, WI 53220 | 2017-09-04 |
| 1730601675 | Rosaana Avila | Physical Therapist | 3944 S. 60th St., Milwaukee, WI 53220 | 2017-07-12 |
| 1285002667 | Casey E Reis | Nurse Practitioner | 4848 S. 76th Street, Greenfield, WI 53220 | 2015-09-02 |
| 1437539798 | Luke Robert Garceau | Physical Therapist | 6520 W. Layton Ave #101, Greenfield, WI 53220 | 2015-06-02 |
| 1295139012 | Tammy Giannopoulos, LLC | Clinic/Center | 4402 S 68th St Suite 100, Greenfield, WI 53220 | 2014-10-22 |
| 1861754244 | Lakeshore Medical Clinic | Occupational Therapist | 4444 West Loomis Road, 200, Greenfield, WI 53220 | 2012-06-12 |
| 1598083115 | Rebecca Anne Kappes | Licensed Practical Nurse | 8208 W Tripoli, Milwaukee, WI 53220 | 2010-05-06 |
| 1699941005 | Susan Marie Delaet | Physical Therapy Assistant | 5700 West Layton Ave, Greenfield, WI 53220 | 2008-05-06 |
| Find all providers in zip 53220 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831335827 | Abundant Health, Inc. | Clinic/Center | 12336 W Layton Ave, Suite #5, Greenfield, WI 53228-3000 | 2008-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730748724 | Molly Lubin Md LLC | Clinic/Center | 16 N Carroll St Ste 450-c, Madison, WI 53703-2716 | 2019-06-12 |
| 1346702826 | Kris Huenink Counseling Services LLC | Clinic/Center | 501 N 8th St Ste 110, Sheboygan, WI 53081-4461 | 2019-04-03 |
| 1720550981 | Purple Lotus Counseling LLC | Clinic/Center | 516 E Wisconsin Ave Ste C, Appleton, WI 54911-4864 | 2018-12-27 |
| 1831677079 | Creative Calm Counseling LLC | Clinic/Center | 2380 State Road 44 Ste G, Oshkosh, WI 54904-6440 | 2018-07-31 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1730530239 | Home Away From Home Living Services LLC | Clinic/Center | 8127 W Herbert Ave, Milwaukee, WI 53218-3632 | 2016-06-26 |
| 1891149928 | Tcg Holdings 14, LLC | Clinic/Center | 127 N Franklin St Ste 206, Port Washington, WI 53074-1948 | 2016-04-14 |
| 1427410992 | Shelley Boehm Mattia Md,adult Psychiatry, LLC | Clinic/Center | 428 Doty St, Green Bay, WI 54301-4509 | 2016-03-24 |
| 1982002242 | Family & Childrens Center | Clinic/Center | 920 W Wisconsin St, Sparta, WI 54656-4217 | 2014-12-18 |
| 1154675924 | Northshore Clinic LLC | Clinic/Center | 805 N 6th St, Sheboygan, WI 53081-4113 | 2012-11-01 |
| Find all providers with the same taxonomy | ||||
| City | GREENFIELD |
| Zip Code | 53220 |
Please comment or provide details below to improve the information on WADE KOSKI LLC.
| 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.