Katrina Elizabeth Gruber, LPC-IT | |
4131 W Loomis Rd Ste 120, Greenfield, WI 53221-2057 | |
(414) 424-2445 | |
(414) 424-2446 |
Full Name | Katrina Elizabeth Gruber |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 4131 W Loomis Rd Ste 120, Greenfield, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063101723 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 5268-226 (Wisconsin) | Primary |
Entity Name | Nystrom & Associates Counseling Wi Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659977866 PECOS PAC ID: 1052729464 Enrollment ID: O20210426000171 |
Mailing Address | Practice Location Address |
---|---|
Katrina Elizabeth Gruber, LPC-IT 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 Ph: () - | Katrina Elizabeth Gruber, LPC-IT 4131 W Loomis Rd Ste 120, Greenfield, WI 53221-2057 Ph: (414) 424-2445 |
Kristin Mary Herro Mccarty, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4402 S 68th St, #100, Greenfield, WI 53220 Phone: 414-321-4411 Fax: 414-321-0552 | |
Miranda Greenwood, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4811 S 76th St Ste 208, Greenfield, WI 53220 Phone: 262-442-2782 | |
Jody L Deboer, MSW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4811 S 76th St Ste 305, Greenfield, WI 53220 Phone: 414-325-7741 Fax: 414-325-7753 | |
Derek Daanen, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4131 W Loomis Rd Ste 120, Greenfield, WI 53221 Phone: 414-424-2445 | |
Ramona Johnson, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4818 S 76th St Ste 129, Greenfield, WI 53220 Phone: 414-243-1619 | |
Nichole Joyce, MA, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6510 W Layton Ave, Greenfield, WI 53220 Phone: 920-250-5738 Fax: 920-250-5736 |