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630 S 36th Ave Wausau WI 54401-3930 | |
| (715) 842-9500 | |
| (715) 848-0425 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 630 S 36th Ave, Wausau, Wisconsin |
| Authorized Official Name and Position | Charity Dawn Fancher (OPERATIONS ADMINISTRATOR) |
| Authorized Official Contact | 7158429500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
630 S 36th Ave Wausau WI 54401-3930 Ph: (715) 842-9500 | 630 S 36th Ave Wausau WI 54401-3930 Ph: (715) 842-9500 |
| NPI Number | 1831442359 |
|---|---|
| Provider Enumeration Date | 10/22/2012 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Medicare PECOS PAC ID | 8628409885 |
|---|---|
| Medicare Enrollment ID | O20200504002000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831442359 | NPI | - | NPPES |
| Provider Name | Kathryn M Keller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750541835 PECOS PAC ID: 9739353467 Enrollment ID: I20111115000646 |
| Provider Name | Rachel L Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154722742 PECOS PAC ID: 8628342763 Enrollment ID: I20170927004428 |
| Provider Name | Abigail I Ream |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235508748 PECOS PAC ID: 2466713748 Enrollment ID: I20180301000561 |
| Provider Name | Krista A Hafenbredl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306312319 PECOS PAC ID: 7618221607 Enrollment ID: I20181109001143 |
| Provider Name | Leticia G Vallejo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477114304 PECOS PAC ID: 1355776139 Enrollment ID: I20200124001968 |
| Provider Name | Amber N Hall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790132793 PECOS PAC ID: 8224466081 Enrollment ID: I20200310002450 |
| Provider Name | Judy S Lemke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962559641 PECOS PAC ID: 7012308851 Enrollment ID: I20220105000410 |
| Provider Name | Shannon C Schaefer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972616795 PECOS PAC ID: 0941631022 Enrollment ID: I20220124002550 |
| Provider Name | Brian Donald Weiland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063812246 PECOS PAC ID: 1850722935 Enrollment ID: I20220125002089 |
| Provider Name | Heather Joy Meggers-wright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376989962 PECOS PAC ID: 4587095666 Enrollment ID: I20220125002308 |
| Provider Name | Patricia Gumz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558914085 PECOS PAC ID: 2264809599 Enrollment ID: I20221031000310 |
| Provider Name | Katrina Maria Arnold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104337880 PECOS PAC ID: 5294104626 Enrollment ID: I20221207001307 |
| Provider Name | Stacy Marie Stefaniak Luther |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649666926 PECOS PAC ID: 2769813849 Enrollment ID: I20230117000130 |
| Provider Name | Magdalena Elizabeth Rocha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508509381 PECOS PAC ID: 7618342262 Enrollment ID: I20230412001852 |
| Provider Name | Katie Anne Dorsey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194194373 PECOS PAC ID: 9234533969 Enrollment ID: I20230412003060 |
| Provider Name | Stephanie Carol Smith Kellen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801366992 PECOS PAC ID: 8426414822 Enrollment ID: I20230509002020 |
| Provider Name | Louis Michael Rossetti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457788093 PECOS PAC ID: 4880055284 Enrollment ID: I20230802000261 |
| Provider Name | Lisa Ann Ladwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578207130 PECOS PAC ID: 0840651170 Enrollment ID: I20230802001666 |
| Provider Name | Jaime L. Bergh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841977972 PECOS PAC ID: 7214391226 Enrollment ID: I20230908003593 |
| Provider Name | Ebony Oteara Butler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902208580 PECOS PAC ID: 3678881539 Enrollment ID: I20231202000647 |
| Provider Name | Oliver James Lees |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609574219 PECOS PAC ID: 7517318397 Enrollment ID: I20240105000897 |
| Provider Name | Travis Anthony Musich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295507564 PECOS PAC ID: 6406207232 Enrollment ID: I20240105002609 |
| Provider Name | Melanie Strand-glatczak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053643403 PECOS PAC ID: 1951749605 Enrollment ID: I20240401002560 |
| Provider Name | Keri A Otte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598339178 PECOS PAC ID: 4688013063 Enrollment ID: I20240418000435 |
| Provider Name | Amy Gray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811598915 PECOS PAC ID: 7517400237 Enrollment ID: I20240621001766 |
| Provider Name | Emily Wereley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316548597 PECOS PAC ID: 3173066834 Enrollment ID: I20240621003416 |
| Provider Name | Elizabeth Krueger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205242245 PECOS PAC ID: 7911441415 Enrollment ID: I20240625004008 |
| Provider Name | Erinn Catherine Mccabe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467844290 PECOS PAC ID: 8426592965 Enrollment ID: I20240626000692 |
| Provider Name | Kristi Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417620576 PECOS PAC ID: 3072057462 Enrollment ID: I20240626002584 |
| Provider Name | Katie Lynn Akkerman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598432569 PECOS PAC ID: 6709320161 Enrollment ID: I20240627000619 |
| Provider Name | Carly N Maas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336733286 PECOS PAC ID: 8820532914 Enrollment ID: I20240701000470 |
| Provider Name | Katie L Brueggen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013285006 PECOS PAC ID: 0345784476 Enrollment ID: I20240701001961 |
| Provider Name | Karen T. Prochaska |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700159217 PECOS PAC ID: 9234673179 Enrollment ID: I20240702001877 |
| Provider Name | Lauri A Doepke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376899096 PECOS PAC ID: 6305380981 Enrollment ID: I20240708001245 |
| Provider Name | Timothy Eric Freundl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548787278 PECOS PAC ID: 4587109160 Enrollment ID: I20240709000888 |
| Provider Name | Paige Marie Zalewski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619486867 PECOS PAC ID: 6800331174 Enrollment ID: I20240710004280 |
| Provider Name | Samantha Hamann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962936914 PECOS PAC ID: 2668917634 Enrollment ID: I20240715000892 |
| Provider Name | Michelle A Lassa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487890398 PECOS PAC ID: 9234675737 Enrollment ID: I20240720000029 |
| Provider Name | Lauren Watters |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1053045484 PECOS PAC ID: 2163968272 Enrollment ID: I20240725001691 |
| Provider Name | Ernest Rackley Ivey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568459212 PECOS PAC ID: 5799790614 Enrollment ID: I20240725002196 |
| Provider Name | Shannon Colleen Huff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104166305 PECOS PAC ID: 0143766956 Enrollment ID: I20240729000602 |
| Provider Name | Shannon Erika Schield |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376022624 PECOS PAC ID: 1658817465 Enrollment ID: I20240729000739 |
| Provider Name | Sabrina Kasner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003652629 PECOS PAC ID: 7315484557 Enrollment ID: I20240805004094 |
| Provider Name | Jessi S Way |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982198198 PECOS PAC ID: 9638618564 Enrollment ID: I20240823000748 |
| Provider Name | Rachel M Eifert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205168655 PECOS PAC ID: 5799225637 Enrollment ID: I20240906001683 |
| Provider Name | Tonya Lyn Krueger Callahan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639804107 PECOS PAC ID: 5092256362 Enrollment ID: I20240926002084 |
| Provider Name | Elizabeth Carroll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497381610 PECOS PAC ID: 7911346440 Enrollment ID: I20241008000360 |
| Provider Name | Samantha Schams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356717078 PECOS PAC ID: 6709317142 Enrollment ID: I20241009001649 |
| Provider Name | Brandon Nite |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093587974 PECOS PAC ID: 3870026107 Enrollment ID: I20241025000334 |
Associated Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 614 N 3rd Ave, Suite A, Wausau, WI 54401 Phone: 715-848-3031 Fax: 715-848-5008 | |
The Centre For Well-being, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 901 N 6th St, Wausau, WI 54403 Phone: 715-848-5022 Fax: 888-778-6750 | |
Wausau Comprehensive Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Washington St, Wausau, WI 54403 Phone: 715-845-3637 | |
Evans Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2714 Stewart Ave, Wausau, WI 54401 Phone: 715-849-3988 Fax: 715-849-5838 | |
Tall Pines Behavioral Health Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 100 N 72nd Ave, Wausau, WI 54401 Phone: 715-301-0267 | |
Transformation Counseling And Training Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1720 Merrill Ave Ste 401, Wausau, WI 54401 Phone: 715-903-6519 | |
New Insights Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 516 Mcclellan St, Wausau, WI 54403 Phone: 715-226-6441 |