Ms Julie Marie Carpenter, | |
400 W River Dr, West Bend, WI 53090-1518 | |
(262) 334-4340 | |
Not Available |
Full Name | Ms Julie Marie Carpenter |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 400 W River Dr, West Bend, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134414543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 5297-125 (Wisconsin) | Primary |
Entity Name | Kettle Moraine Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568790954 PECOS PAC ID: 8527353747 Enrollment ID: O20200416001123 |
Mailing Address | Practice Location Address |
---|---|
Ms Julie Marie Carpenter, N47w7730 Parkland Rd, Cedarburg, WI 53012-2783 Ph: (414) 405-8776 | Ms Julie Marie Carpenter, 400 W River Dr, West Bend, WI 53090-1518 Ph: (262) 334-4340 |
Ms. Ashley Elizabeth Birkholz, CAPSW, SAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1626 Clarence Ct, West Bend, WI 53095 Phone: 262-338-8611 Fax: 262-338-3367 | |
Renee M Janusz, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 333 E Washington St Ste 2000, West Bend, WI 53095 Phone: 262-335-4545 Fax: 262-335-6827 | |
William James Skalecki, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 N Main St Ste 110, West Bend, WI 53095 Phone: 262-707-3052 | |
Jennifer Ryan, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1626 Clarence Ct, West Bend, WI 53095 Phone: 262-338-8611 | |
Jonathan France, LPC, SAC-IT Counselor Medicare: Medicare Enrolled Practice Location: 333 E Washington St Ste 2100, West Bend, WI 53095 Phone: 262-365-6563 Fax: 262-365-6559 | |
Hollister L Jefferson, M.A., SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 W River Dr, West Bend, WI 53090 Phone: 262-334-4340 | |
Shana J Schloemer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1615 Barton Ave, West Bend, WI 53090 Phone: 262-334-5392 Fax: 262-334-4475 |