| Scott D Huntington, LPC | |
|
1626 Clarence Ct, West Bend, WI 53095-8533 | |
| (262) 338-8611 | |
| (262) 338-3367 |
| Full Name | Scott D Huntington |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1626 Clarence Ct, 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 |
|---|---|---|---|
| 1841310596 | NPI | - | NPPES |
| 39789800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 11448-132 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 3376-125 (Wisconsin) | Primary |
| Entity Name | La Clinica De Los Campesinos, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790786929 PECOS PAC ID: 8729996574 Enrollment ID: O20040806000058 |
| Entity Name | La Clinica De Los Campesinos, Inc |
|---|---|
| Entity Type | Part A Provider - Federally Qualified Health Center (fqhc) |
| Entity Identifiers | NPI Number: 1790786929 PECOS PAC ID: 8729996574 Enrollment ID: O20240315000308 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott D Huntington, LPC 6737 W Washington St, Suite 2210, West Allis, WI 53214-5647 Ph: (414) 777-1570 | Scott D Huntington, LPC 1626 Clarence Ct, West Bend, WI 53095-8533 Ph: (262) 338-8611 |
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 |