| Alarus Healthcare, Llc | |
|
1971 Washington St Suite 200 Grafton WI 53024-2102 | |
| (262) 377-6276 | |
| (262) 377-6289 |
| Full Name | Alarus Healthcare, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1971 Washington St, Grafton, Wisconsin |
| Authorized Official Name and Position | Michael Owen (CLINIC OWNER) |
| Authorized Official Contact | 2627074671 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alarus Healthcare, Llc 1971 Washington St Suite 200 Grafton WI 53024-2102 Ph: (262) 377-6276 | Alarus Healthcare, Llc 1971 Washington St Suite 200 Grafton WI 53024-2102 Ph: (262) 377-6276 |
| NPI Number | 1457788242 |
|---|---|
| Provider Enumeration Date | 10/11/2013 |
| Last Update Date | 07/01/2020 |
| Certification Date | 07/01/2020 |
| Medicare PECOS PAC ID | 8022231026 |
|---|---|
| Medicare Enrollment ID | O20140520001508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457788242 | NPI | - | NPPES |
| 1669701561 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 4842-125 (Wisconsin) | Primary |
| Provider Name | Debra J Kultgen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811051279 PECOS PAC ID: 0749201556 Enrollment ID: I20051208000278 |
| Provider Name | Laura G Brewer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093998593 PECOS PAC ID: 8921186107 Enrollment ID: I20080429000514 |
| Provider Name | J Scott Rhule |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831204296 PECOS PAC ID: 5496829228 Enrollment ID: I20080728000787 |
| Provider Name | Colleen Worth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417247040 PECOS PAC ID: 4385863174 Enrollment ID: I20150527002833 |
| Provider Name | Laura Luebke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669772810 PECOS PAC ID: 0446543904 Enrollment ID: I20160721002215 |
| Provider Name | Elizabeth Kuhn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548531023 PECOS PAC ID: 0749534279 Enrollment ID: I20181119002526 |
| Provider Name | Ashley Elizabeth Birkholz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003271693 PECOS PAC ID: 0446595052 Enrollment ID: I20181228001403 |
| Provider Name | Andrea Petersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093163743 PECOS PAC ID: 4486984986 Enrollment ID: I20190926000569 |
| Provider Name | Shannon Bernice Westphal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245819200 PECOS PAC ID: 9436523347 Enrollment ID: I20230316000148 |
| Provider Name | Michael Owen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669701561 PECOS PAC ID: 1658594650 Enrollment ID: I20231228000415 |
| Provider Name | Margaret Marie Schultz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912417833 PECOS PAC ID: 9638529928 Enrollment ID: I20231228003202 |
| Provider Name | William Vansusteren |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063995132 PECOS PAC ID: 7719339860 Enrollment ID: I20240115000663 |
| Provider Name | Mitchell Lee Mueller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770940272 PECOS PAC ID: 6800243015 Enrollment ID: I20240327002690 |
| Provider Name | Tyler W Secor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740840420 PECOS PAC ID: 0648610345 Enrollment ID: I20240429001583 |
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