Carmen Sperle, LPC | |
3436 County Road A, Stoughton, WI 53589-3906 | |
(608) 215-2018 | |
Not Available |
Full Name | Carmen Sperle |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 3436 County Road A, Stoughton, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487311452 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 7196-125 (Wisconsin) | Primary |
Entity Name | 212 Psychotherapy Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053941666 PECOS PAC ID: 9234547829 Enrollment ID: O20210420002439 |
Mailing Address | Practice Location Address |
---|---|
Carmen Sperle, LPC 3436 County Road A, Stoughton, WI 53589-3906 Ph: (608) 215-2018 | Carmen Sperle, LPC 3436 County Road A, Stoughton, WI 53589-3906 Ph: (608) 215-2018 |
Jennifer Betters-bubon, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 E Prospect St, Stoughton, WI 53589 Phone: 608-347-1367 | |
Ms. Jean A Daute, MS LPC CSAC ICS MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 135 W Main St, Suite 207, Stoughton, WI 53589 Phone: 608-873-7838 Fax: 877-674-2177 | |
Veronica M Ellingworth, MS, LPC, SAC, ICS Counselor Medicare: Medicare Enrolled Practice Location: 100 Business Park Cir Ste 202, Stoughton, WI 53589 Phone: 608-695-0960 | |
Gabrielle Elise Montana, LPC, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3185 Deer Point Dr Ste A, Stoughton, WI 53589 Phone: 608-873-7838 | |
Jeani M Oppeneer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 N Madison St, Stoughton, WI 53589 Phone: 608-235-9625 | |
Mr. Joe M Lambert, LPC-IT, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 135 W Main St, Suite 207, Stoughton, WI 53589 Phone: 608-873-7838 Fax: 877-674-2177 |