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631 Forest St Wausau WI 54403-5524 | |
| (715) 842-0944 | |
| (715) 845-6477 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 631 Forest St, Wausau, Wisconsin |
| Authorized Official Name and Position | Edmund Lee Webster (DIRECTOR) |
| Authorized Official Contact | 7158420944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
631 Forest St Wausau WI 54403-5524 Ph: (715) 842-0944 | 631 Forest St Wausau WI 54403-5524 Ph: (715) 842-0944 |
| NPI Number | 1679684609 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 09/02/2014 |
| Medicare PECOS PAC ID | 0345394037 |
|---|---|
| Medicare Enrollment ID | O20090814000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679684609 | NPI | - | NPPES |
| 42135100 | Medicaid | WI | |
| 62743 | Other | WI | MULTIPLAN/WPPN |
| DA2153 | Other | RAILROAD MEDICARE | |
| 305912 | Other | MHN | |
| 1008111 | Other | CIGNA BEHAVIORAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1153 (Wisconsin) | Primary |
| Provider Name | Edmond L Webster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376576231 PECOS PAC ID: 7012061708 Enrollment ID: I20090814000167 |
| Provider Name | Krista Kocha |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790279305 PECOS PAC ID: 9638518392 Enrollment ID: I20240415003502 |
| Provider Name | Barbara M Webster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609805399 PECOS PAC ID: 8921541541 Enrollment ID: I20240624001217 |
| Provider Name | Erin Elizabeth Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659300341 PECOS PAC ID: 6305389891 Enrollment ID: I20240625003202 |
| Provider Name | Judith Renee Stevenson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942958442 PECOS PAC ID: 3577095736 Enrollment ID: I20241014002579 |
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 |