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16535 W Bluemound Rd Suite 200 Brookfield WI 53005-5936 | |
| (262) 789-1191 | |
| (262) 821-6180 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 16535 W Bluemound Rd, Brookfield, Wisconsin |
| Authorized Official Name and Position | Ryan Pardo (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 4252798500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
16535 W Bluemound Rd Suite 200 Brookfield WI 53005-5936 Ph: (262) 789-1191 | 16535 W Bluemound Rd Suite 200 Brookfield WI 53005-5936 Ph: (262) 789-1191 |
| NPI Number | 1033127246 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 09/29/2023 |
| Certification Date | 09/29/2023 |
| Medicare PECOS PAC ID | 1456256023 |
|---|---|
| Medicare Enrollment ID | O20031205000446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033127246 | NPI | - | NPPES |
| 42170300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1237 (Wisconsin) | Secondary |
| 101YM0800X | Counselor - Mental Health | 1237 (Wisconsin) | Primary |
| Provider Name | Steven W Petrie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437266830 PECOS PAC ID: 1759288913 Enrollment ID: I20031216000390 |
| Provider Name | David E Drapes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477562460 PECOS PAC ID: 6709779184 Enrollment ID: I20040209000160 |
| Provider Name | Barbara G Demilio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629696083 PECOS PAC ID: 6800780339 Enrollment ID: I20040213000316 |
| Provider Name | Bruce A Semon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114020773 PECOS PAC ID: 3971498866 Enrollment ID: I20040219000202 |
| Provider Name | Mary K Schwantes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770667248 PECOS PAC ID: 9739084328 Enrollment ID: I20040526001401 |
| Provider Name | Sandra M Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487744918 PECOS PAC ID: 9133100985 Enrollment ID: I20040527000105 |
| Provider Name | Lauri Lowenbraun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649288036 PECOS PAC ID: 0143201905 Enrollment ID: I20040527000188 |
| Provider Name | Janice M Bourke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780767293 PECOS PAC ID: 9032179940 Enrollment ID: I20041014001125 |
| Provider Name | Julie A Hester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730261694 PECOS PAC ID: 1951362094 Enrollment ID: I20041022000261 |
| Provider Name | Jane M Casseus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972519155 PECOS PAC ID: 7416918479 Enrollment ID: I20041022000507 |
| Provider Name | Allan J Luck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255373015 PECOS PAC ID: 1658336698 Enrollment ID: I20041201000428 |
| Provider Name | Sharon S Fedderly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619064441 PECOS PAC ID: 7113985367 Enrollment ID: I20041221000033 |
| Provider Name | Lura M Asby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407872567 PECOS PAC ID: 3375593221 Enrollment ID: I20050127000817 |
| Provider Name | Rita J Brafford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700992708 PECOS PAC ID: 1153360193 Enrollment ID: I20050428000560 |
| Provider Name | Damon W Buckett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205824604 PECOS PAC ID: 8123053170 Enrollment ID: I20050928001381 |
| Provider Name | Linda A Dunaway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326020553 PECOS PAC ID: 7416982228 Enrollment ID: I20050929001341 |
| Provider Name | Jennifer L Schroederus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912922360 PECOS PAC ID: 0749207942 Enrollment ID: I20051027000370 |
| Provider Name | Robin S Coleman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1447448071 PECOS PAC ID: 4183657133 Enrollment ID: I20051103000376 |
| Provider Name | Bronwyn Dilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407809072 PECOS PAC ID: 2860416369 Enrollment ID: I20060124000330 |
| Provider Name | Theoni H Calvert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346258498 PECOS PAC ID: 5597775502 Enrollment ID: I20060504000232 |
| Provider Name | Trevor F Hyde |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982641452 PECOS PAC ID: 8527070747 Enrollment ID: I20060706000300 |
| Provider Name | Terese Eileen Andrle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528022241 PECOS PAC ID: 9830195502 Enrollment ID: I20061020000195 |
| Provider Name | Anne C Mcinnis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740356740 PECOS PAC ID: 4789686635 Enrollment ID: I20070207000020 |
| Provider Name | Jessica J Suhr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477513588 PECOS PAC ID: 7214039825 Enrollment ID: I20070228000708 |
| Provider Name | James T Lipusch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548376726 PECOS PAC ID: 5991808933 Enrollment ID: I20070313000446 |
| Provider Name | Heidi Ann Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821136300 PECOS PAC ID: 5092818930 Enrollment ID: I20070313000513 |
| Provider Name | Beverly A Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932258969 PECOS PAC ID: 5395838676 Enrollment ID: I20070831000256 |
| Provider Name | Lisa M Blaeser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588782353 PECOS PAC ID: 0446318646 Enrollment ID: I20081016000225 |
| Provider Name | Michelle Kathleen Vanden Noven |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700097045 PECOS PAC ID: 7113072638 Enrollment ID: I20090908000196 |
| Provider Name | Cheryl A Rugg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720171671 PECOS PAC ID: 5991830135 Enrollment ID: I20100312001000 |
| Provider Name | Caroline G Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033207386 PECOS PAC ID: 8820129026 Enrollment ID: I20100702000414 |
| Provider Name | Britt A Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306158001 PECOS PAC ID: 6305961822 Enrollment ID: I20100921000242 |
| Provider Name | Thomas K Galten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962525683 PECOS PAC ID: 5496947137 Enrollment ID: I20101013000278 |
| Provider Name | Patricia C Stanik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609956242 PECOS PAC ID: 5890729131 Enrollment ID: I20101122000045 |
| Provider Name | Melanie M Wasserman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043303779 PECOS PAC ID: 9739368119 Enrollment ID: I20110201000621 |
| Provider Name | Wendy J Serketich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225054869 PECOS PAC ID: 6406036847 Enrollment ID: I20110202000475 |
| Provider Name | John S Morrell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184642688 PECOS PAC ID: 4082894431 Enrollment ID: I20110202000558 |
| Provider Name | Geraldine B Banks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356369854 PECOS PAC ID: 0749254100 Enrollment ID: I20110202000571 |
| Provider Name | Shmuel Mandelbaum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942221601 PECOS PAC ID: 2062542111 Enrollment ID: I20110307001012 |
| Provider Name | Todd C Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871730242 PECOS PAC ID: 3779767249 Enrollment ID: I20110707000542 |
| Provider Name | Colleen M Drosdeck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801027826 PECOS PAC ID: 6103098215 Enrollment ID: I20111014000450 |
| Provider Name | Stephanie A Scheiber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316243496 PECOS PAC ID: 9133392061 Enrollment ID: I20111109000334 |
| Provider Name | Alicia Kovac |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063798536 PECOS PAC ID: 9739354689 Enrollment ID: I20111205000831 |
| Provider Name | Denise E Davis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639278534 PECOS PAC ID: 1850568577 Enrollment ID: I20120120000729 |
| Provider Name | Carolyn Klotz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871728253 PECOS PAC ID: 5698826519 Enrollment ID: I20120201000529 |
| Provider Name | Robert W Nohr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629085279 PECOS PAC ID: 8426216904 Enrollment ID: I20120301000311 |
| Provider Name | Ivaylo I Hristov |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255405320 PECOS PAC ID: 4486813029 Enrollment ID: I20120316000585 |
| Provider Name | Raymond J Kloss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851365530 PECOS PAC ID: 8224290952 Enrollment ID: I20120425000734 |
| Provider Name | Monica M Passage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235425885 PECOS PAC ID: 7315109477 Enrollment ID: I20120507000554 |
| Provider Name | Tricia A Vandenakker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932430584 PECOS PAC ID: 0840454351 Enrollment ID: I20120613000628 |
| Provider Name | Elizabeth L Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154550754 PECOS PAC ID: 6901048008 Enrollment ID: I20131226000210 |
| Provider Name | Molly E Grosse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194156760 PECOS PAC ID: 6709014442 Enrollment ID: I20140102000672 |
| Provider Name | Carin A Pittleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609114511 PECOS PAC ID: 0345463337 Enrollment ID: I20140520001271 |
| Provider Name | Nicole Tauer Ward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497901532 PECOS PAC ID: 7517110224 Enrollment ID: I20141013000848 |
| Provider Name | Lisa M Lizak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902099914 PECOS PAC ID: 6800111527 Enrollment ID: I20150220000728 |
| Provider Name | Pamela L Dennison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780899294 PECOS PAC ID: 0648596858 Enrollment ID: I20150306000373 |
| Provider Name | Andrew J Sievila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932502325 PECOS PAC ID: 3779800388 Enrollment ID: I20150319001131 |
| Provider Name | Elisabeth Steadman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518351303 PECOS PAC ID: 4183943939 Enrollment ID: I20150429002327 |
| Provider Name | Marilyn Tauscher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073949913 PECOS PAC ID: 6608179742 Enrollment ID: I20160122000834 |
| Provider Name | Melissa A Geason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821452095 PECOS PAC ID: 2769780303 Enrollment ID: I20160414000459 |
| Provider Name | Kristi L Sook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619330156 PECOS PAC ID: 4981903457 Enrollment ID: I20160504002404 |
| Provider Name | Susan S Schramka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639259617 PECOS PAC ID: 2163719873 Enrollment ID: I20160923001257 |
| Provider Name | Katrina L Nipko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134672363 PECOS PAC ID: 9133409766 Enrollment ID: I20161216001412 |
| Provider Name | Ryan Sershon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407397938 PECOS PAC ID: 6103193701 Enrollment ID: I20170602001299 |
| Provider Name | Nicholas C Heck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013430495 PECOS PAC ID: 8325310410 Enrollment ID: I20170824001403 |
| Provider Name | Hilary K Tesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508388927 PECOS PAC ID: 4284906231 Enrollment ID: I20170825000694 |
| Provider Name | Monika Zawadzka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891192456 PECOS PAC ID: 8729352778 Enrollment ID: I20170914003035 |
| Provider Name | Dawn M Johanneck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871015891 PECOS PAC ID: 2961777339 Enrollment ID: I20171011001322 |
| Provider Name | Joanne M Berthelsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831614049 PECOS PAC ID: 2062788078 Enrollment ID: I20171018003594 |
| Provider Name | Laura Ann Heidelmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699291757 PECOS PAC ID: 3072879170 Enrollment ID: I20171106002051 |
| Provider Name | Nicole L Shay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255627279 PECOS PAC ID: 5294031183 Enrollment ID: I20171116002274 |
| Provider Name | Regina S Boyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922288638 PECOS PAC ID: 5698822310 Enrollment ID: I20171213000686 |
| Provider Name | Jennifer L Maxwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912206814 PECOS PAC ID: 8628339173 Enrollment ID: I20180227000364 |
| Provider Name | Abigail Cohn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326445032 PECOS PAC ID: 9335494947 Enrollment ID: I20180622001993 |
| Provider Name | Daniel Noll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396223897 PECOS PAC ID: 3375893316 Enrollment ID: I20180912001525 |
| Provider Name | Stacey D Grant-savela |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265841720 PECOS PAC ID: 3870846058 Enrollment ID: I20181106000647 |
| Provider Name | Beth A Wuerl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366926396 PECOS PAC ID: 3375887151 Enrollment ID: I20181205001224 |
| Provider Name | Anthony D Dobner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437581139 PECOS PAC ID: 2264655760 Enrollment ID: I20181210003130 |
| Provider Name | Mark A Morrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982614798 PECOS PAC ID: 2769404896 Enrollment ID: I20181227000020 |
| Provider Name | Heather M Klemm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770055170 PECOS PAC ID: 4981944352 Enrollment ID: I20190321000816 |
| Provider Name | Colette L Feldman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578020129 PECOS PAC ID: 1850631094 Enrollment ID: I20190326000010 |
| Provider Name | Shannon Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972168862 PECOS PAC ID: 0143553156 Enrollment ID: I20190606001301 |
| Provider Name | Jillian Marie Rouleau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538721055 PECOS PAC ID: 6800123100 Enrollment ID: I20190808003978 |
| Provider Name | Patrick Paul Westerham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053577361 PECOS PAC ID: 0840509717 Enrollment ID: I20190923001471 |
| Provider Name | Katherine H Leibsle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720194186 PECOS PAC ID: 2860724861 Enrollment ID: I20191024000337 |
| Provider Name | Tiffany M Jacobsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821360199 PECOS PAC ID: 1254663792 Enrollment ID: I20191101000874 |
| Provider Name | Daniel D Medlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639439433 PECOS PAC ID: 5395178453 Enrollment ID: I20191203001425 |
| Provider Name | David C Poehlmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124182126 PECOS PAC ID: 7012344575 Enrollment ID: I20200221000981 |
| Provider Name | Candice N Dienberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376968073 PECOS PAC ID: 8426487372 Enrollment ID: I20200330000235 |
| Provider Name | Jennifer Ann Reisel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871112433 PECOS PAC ID: 1951725084 Enrollment ID: I20200722003087 |
| Provider Name | Lateisha Prescott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609410364 PECOS PAC ID: 2365860095 Enrollment ID: I20200914000294 |
| Provider Name | Kimberly A Norden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760007009 PECOS PAC ID: 4789004540 Enrollment ID: I20201015002396 |
| Provider Name | Emily S Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568947158 PECOS PAC ID: 3577973908 Enrollment ID: I20201113000606 |
| Provider Name | Emily Slominski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366071524 PECOS PAC ID: 4587076963 Enrollment ID: I20201208002139 |
| Provider Name | Lisa Ann Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871066506 PECOS PAC ID: 8325450984 Enrollment ID: I20201224000194 |
| Provider Name | Melissa A Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649888389 PECOS PAC ID: 3375956782 Enrollment ID: I20210104000627 |
| Provider Name | Beth Feist |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548536097 PECOS PAC ID: 7214172279 Enrollment ID: I20210201001195 |
| Provider Name | Alyson Colleen Gerdes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952991390 PECOS PAC ID: 8325453624 Enrollment ID: I20210218002986 |
| Provider Name | Kathleen R Mack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619560992 PECOS PAC ID: 9436566718 Enrollment ID: I20210405000091 |
| Provider Name | Cassidy N Stein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699258111 PECOS PAC ID: 0042629578 Enrollment ID: I20210512002443 |
| Provider Name | Megan Rose Ambros |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245806330 PECOS PAC ID: 2365844339 Enrollment ID: I20210713003045 |
| Provider Name | Kathryn Marolt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265002810 PECOS PAC ID: 0042613028 Enrollment ID: I20210728002401 |
| Provider Name | Darren Z Almagro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295262624 PECOS PAC ID: 1759651276 Enrollment ID: I20210810000883 |
| Provider Name | Kara A Guevara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841865250 PECOS PAC ID: 3476958273 Enrollment ID: I20210817002138 |
| Provider Name | Elaine Katherine Wessel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942974571 PECOS PAC ID: 4385040443 Enrollment ID: I20210915001227 |
| Provider Name | Susan M Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982926903 PECOS PAC ID: 3678580131 Enrollment ID: I20211104002156 |
| Provider Name | Hannah R Weston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134881626 PECOS PAC ID: 7911399480 Enrollment ID: I20220112001792 |
| Provider Name | Catherine Rebecca Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376201830 PECOS PAC ID: 2466844824 Enrollment ID: I20220114000122 |
| Provider Name | Lynsey Patricia Retzlaff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023760543 PECOS PAC ID: 4789077066 Enrollment ID: I20220209001251 |
| Provider Name | Tatyana P Siminak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366196685 PECOS PAC ID: 7012301062 Enrollment ID: I20220308001927 |
| Provider Name | Lauren E Damai |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316384126 PECOS PAC ID: 3072909217 Enrollment ID: I20220415000217 |
| Provider Name | Sarah K Shermo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710213632 PECOS PAC ID: 5991175531 Enrollment ID: I20221223000566 |
| Provider Name | Sara N Feist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023288016 PECOS PAC ID: 6608246962 Enrollment ID: I20221230001637 |
| Provider Name | Benjamin H Fendrich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770242281 PECOS PAC ID: 1557733581 Enrollment ID: I20230220002596 |
| Provider Name | Rachel Ann Roeglin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043224983 PECOS PAC ID: 5294107231 Enrollment ID: I20230221000346 |
| Provider Name | Christine Wielgos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114278157 PECOS PAC ID: 3375916596 Enrollment ID: I20230308001964 |
| Provider Name | Brian Michael Flynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790021897 PECOS PAC ID: 7810360955 Enrollment ID: I20230310000741 |
| Provider Name | Gina L Yauck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861819534 PECOS PAC ID: 3476927500 Enrollment ID: I20230313001415 |
| Provider Name | Jenna Mohelnitzky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013488022 PECOS PAC ID: 3274907183 Enrollment ID: I20230316000094 |
| Provider Name | Jennifer Lea Burkel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841648839 PECOS PAC ID: 1850765231 Enrollment ID: I20230327000978 |
| Provider Name | Amber Hearing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386736817 PECOS PAC ID: 0547366809 Enrollment ID: I20230328000669 |
| Provider Name | Richard Harry Goldberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306446257 PECOS PAC ID: 7416321757 Enrollment ID: I20230328001026 |
| Provider Name | Heidi S Clement |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962117952 PECOS PAC ID: 6103290382 Enrollment ID: I20230330001310 |
| Provider Name | Andrew Jacob Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710309059 PECOS PAC ID: 2264807627 Enrollment ID: I20230417002478 |
| Provider Name | Sophia Marie Klingbiel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598142937 PECOS PAC ID: 8123483385 Enrollment ID: I20230424001523 |
| Provider Name | Bridgette Olivia Brodzeller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205237922 PECOS PAC ID: 9335506302 Enrollment ID: I20230606003314 |
| Provider Name | Christopher Wells Winters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700233269 PECOS PAC ID: 2668839259 Enrollment ID: I20230613003115 |
| Provider Name | Renata Marie Okonkwo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770711285 PECOS PAC ID: 1557729753 Enrollment ID: I20230621000248 |
| Provider Name | Malorie A Huguet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861174971 PECOS PAC ID: 6406219146 Enrollment ID: I20230829002976 |
| Provider Name | Kelly Theodore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821472226 PECOS PAC ID: 5698076909 Enrollment ID: I20230830003335 |
| Provider Name | Megan Rowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275034605 PECOS PAC ID: 4385906585 Enrollment ID: I20230911002658 |
| Provider Name | Andrew David Rapinchuk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962110593 PECOS PAC ID: 8325402811 Enrollment ID: I20230918000624 |
| Provider Name | Michael Paul Rospenda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477911444 PECOS PAC ID: 9436504156 Enrollment ID: I20231016000694 |
| Provider Name | Brenda Kay Stiff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255600532 PECOS PAC ID: 2264882455 Enrollment ID: I20240101000062 |
| Provider Name | Leslie Marie Berumen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578855672 PECOS PAC ID: 5597115790 Enrollment ID: I20240101000228 |
| Provider Name | Laura Marie Karan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770038747 PECOS PAC ID: 8426408550 Enrollment ID: I20240102001170 |
| Provider Name | Michaela Klimko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861004848 PECOS PAC ID: 8426409129 Enrollment ID: I20240108000060 |
| Provider Name | Jamie Lynn Garrow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366924243 PECOS PAC ID: 7214388529 Enrollment ID: I20240111001833 |
| Provider Name | Sara Saunders |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932666583 PECOS PAC ID: 5395197446 Enrollment ID: I20240115000569 |
| Provider Name | Christopher John Borden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053551671 PECOS PAC ID: 7012369648 Enrollment ID: I20240119001356 |
| Provider Name | Phyllis Ann Lardinois |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154597771 PECOS PAC ID: 4789036906 Enrollment ID: I20240123003229 |
| Provider Name | Laura Ceccato |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760720932 PECOS PAC ID: 7911359153 Enrollment ID: I20240123003810 |
| Provider Name | Natalie R. L Berryman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063811362 PECOS PAC ID: 3072966142 Enrollment ID: I20240125002090 |
| Provider Name | Tony Pham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659962405 PECOS PAC ID: 0244683209 Enrollment ID: I20240126000800 |
| Provider Name | Maureen R Goldblatt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275791345 PECOS PAC ID: 2264885128 Enrollment ID: I20240126001109 |
| Provider Name | Jessica Dawn Marie Corey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114285202 PECOS PAC ID: 6204289176 Enrollment ID: I20240126001776 |
| Provider Name | Kevin Donald Davies |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134602428 PECOS PAC ID: 2769835685 Enrollment ID: I20240126003462 |
| Provider Name | Stephanie L Coates-mcfeeley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467894394 PECOS PAC ID: 1456704303 Enrollment ID: I20240127000614 |
| Provider Name | Susan Elizabeth Schroeder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255416798 PECOS PAC ID: 2466805148 Enrollment ID: I20240130000216 |
| Provider Name | Dana Elise Emold |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659978369 PECOS PAC ID: 9931552635 Enrollment ID: I20240130000759 |
| Provider Name | Katherine Elizabeth Gatlin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518600121 PECOS PAC ID: 0446603096 Enrollment ID: I20240130002904 |
| Provider Name | Miranda Greenwood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053011874 PECOS PAC ID: 9133572506 Enrollment ID: I20240201001957 |
| Provider Name | Julia Rose Shaughnessy |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033688478 PECOS PAC ID: 0749633048 Enrollment ID: I20240201003555 |
| Provider Name | Noelle C Giannini |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538729850 PECOS PAC ID: 6103279401 Enrollment ID: I20240201003587 |
| Provider Name | Sandra J Henke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447803465 PECOS PAC ID: 8224481577 Enrollment ID: I20240202000774 |
| Provider Name | Courtney Gutantes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770938219 PECOS PAC ID: 4587017876 Enrollment ID: I20240202002117 |
| Provider Name | Karen D Henry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366793903 PECOS PAC ID: 9931552221 Enrollment ID: I20240202002149 |
| Provider Name | Dorothy D Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962672659 PECOS PAC ID: 7214370519 Enrollment ID: I20240202002885 |
| Provider Name | Kimberly Rose Schlomann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003438391 PECOS PAC ID: 6507209822 Enrollment ID: I20240202003667 |
| Provider Name | Alexandra Iverson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013500313 PECOS PAC ID: 5597108779 Enrollment ID: I20240205001520 |
| Provider Name | Jill Jacobs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154704559 PECOS PAC ID: 5193168375 Enrollment ID: I20240205001664 |
| Provider Name | Abigail J Heuring |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467915132 PECOS PAC ID: 7315380458 Enrollment ID: I20240206002633 |
| Provider Name | Jessica M Key |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265047625 PECOS PAC ID: 2961845987 Enrollment ID: I20240207000873 |
| Provider Name | Christopher Francis Sloan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316631781 PECOS PAC ID: 8022451053 Enrollment ID: I20240207001014 |
| Provider Name | Elizabeth Ross Dulak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073001616 PECOS PAC ID: 7315380367 Enrollment ID: I20240207001688 |
| Provider Name | Linda Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356889240 PECOS PAC ID: 7315380110 Enrollment ID: I20240208002743 |
| Provider Name | Ann Marie Goral Kratzer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982281762 PECOS PAC ID: 1557704368 Enrollment ID: I20240208002971 |
| Provider Name | Jason L Levine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659835270 PECOS PAC ID: 0547603359 Enrollment ID: I20240208003016 |
| Provider Name | Carol L Kinney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942363155 PECOS PAC ID: 2163865973 Enrollment ID: I20240208003098 |
| Provider Name | Amanda J Knollenberg |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891199253 PECOS PAC ID: 3870936511 Enrollment ID: I20240208004447 |
| Provider Name | Jennifer J Marolt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942721105 PECOS PAC ID: 2668815176 Enrollment ID: I20240212001482 |
| Provider Name | John M Sullivan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639789027 PECOS PAC ID: 7810330222 Enrollment ID: I20240213000265 |
| Provider Name | Terri Lee Koschnick |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558463786 PECOS PAC ID: 7517301898 Enrollment ID: I20240214002044 |
| Provider Name | Barbara Ann Temple |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821072232 PECOS PAC ID: 3274977566 Enrollment ID: I20240214002371 |
| Provider Name | Cayla Joy Lund |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437895125 PECOS PAC ID: 1456795723 Enrollment ID: I20240215000958 |
| Provider Name | Vincent B Vogt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003567140 PECOS PAC ID: 4789028846 Enrollment ID: I20240216000065 |
| Provider Name | Laura Hempe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629479852 PECOS PAC ID: 6103260195 Enrollment ID: I20240217000721 |
| Provider Name | Sadie Marie Millen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598456022 PECOS PAC ID: 5991149908 Enrollment ID: I20240219000487 |
| Provider Name | Brenda R Lovick |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376161489 PECOS PAC ID: 5395189310 Enrollment ID: I20240219000714 |
| Provider Name | Lee Andrew Folstad |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699845487 PECOS PAC ID: 7214371244 Enrollment ID: I20240219001036 |
| Provider Name | Emma Papenfus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770141467 PECOS PAC ID: 0941644975 Enrollment ID: I20240219001055 |
| Provider Name | Anne Repaci |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700287802 PECOS PAC ID: 1658715693 Enrollment ID: I20240219001566 |
| Provider Name | Aaron Ezekiel Munson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184998403 PECOS PAC ID: 0143664086 Enrollment ID: I20240219001783 |
| Provider Name | Marie-therese Hellrung |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184797532 PECOS PAC ID: 0042654980 Enrollment ID: I20240219001815 |
| Provider Name | Kevin Wahl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174994164 PECOS PAC ID: 2668884826 Enrollment ID: I20240219002794 |
| Provider Name | Melissa Shi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962061218 PECOS PAC ID: 1658715545 Enrollment ID: I20240219003579 |
| Provider Name | Rachel Marie Pfeifer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700529476 PECOS PAC ID: 3577907484 Enrollment ID: I20240220000514 |
| Provider Name | Daina L Westerman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043364748 PECOS PAC ID: 0941644868 Enrollment ID: I20240220000897 |
| Provider Name | Kristine M Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861947574 PECOS PAC ID: 3173967866 Enrollment ID: I20240221002739 |
| Provider Name | Elizabeth Gross |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740932839 PECOS PAC ID: 0042662728 Enrollment ID: I20240221003212 |
| Provider Name | Julia Peterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194032276 PECOS PAC ID: 7214371822 Enrollment ID: I20240221003737 |
| Provider Name | Sierra Worob |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568031284 PECOS PAC ID: 4082058680 Enrollment ID: I20240222002520 |
| Provider Name | Robert Lee Abercrombie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487105524 PECOS PAC ID: 7012351570 Enrollment ID: I20240223000320 |
| Provider Name | Marissa A Gaedtke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629755889 PECOS PAC ID: 0042655573 Enrollment ID: I20240223003267 |
| Provider Name | Amy Bourdo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134603616 PECOS PAC ID: 4688019045 Enrollment ID: I20240226002617 |
| Provider Name | Kimberly Ann Pritchard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760897615 PECOS PAC ID: 5496190720 Enrollment ID: I20240227001253 |
| Provider Name | Alison E Schneider |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972140226 PECOS PAC ID: 1355786682 Enrollment ID: I20240227001417 |
| Provider Name | Hailey Elizabeth Sawtelle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780278416 PECOS PAC ID: 1850736034 Enrollment ID: I20240227003628 |
| Provider Name | Stephanie Tsoris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073913406 PECOS PAC ID: 8325483555 Enrollment ID: I20240228000437 |
| Provider Name | Elizabeth M Schrimpf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053927376 PECOS PAC ID: 1456796697 Enrollment ID: I20240228001018 |
| Provider Name | Erik S Stonecipher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700517125 PECOS PAC ID: 8729423892 Enrollment ID: I20240228002227 |
| Provider Name | Lisa Marie Regner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487196812 PECOS PAC ID: 1850736935 Enrollment ID: I20240228002760 |
| Provider Name | Stacey Sievert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326485145 PECOS PAC ID: 3971948068 Enrollment ID: I20240228003065 |
| Provider Name | Elizabeth Stetter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740771989 PECOS PAC ID: 8123463213 Enrollment ID: I20240228003148 |
| Provider Name | Alison Maloney Strycker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336409788 PECOS PAC ID: 7517302631 Enrollment ID: I20240228004230 |
| Provider Name | Maureen Laustsen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790818771 PECOS PAC ID: 4880039874 Enrollment ID: I20240229002063 |
| Provider Name | Bethany F Williamson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932666534 PECOS PAC ID: 4981049889 Enrollment ID: I20240301001753 |
| Provider Name | Desiree Sigler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528530292 PECOS PAC ID: 3678918455 Enrollment ID: I20240302000638 |
| Provider Name | Deseree A Nehrkorn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912220872 PECOS PAC ID: 1456796168 Enrollment ID: I20240304001373 |
| Provider Name | Jennifer A Patterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003180522 PECOS PAC ID: 7719322403 Enrollment ID: I20240305000061 |
| Provider Name | Diane Marie Bast |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568512572 PECOS PAC ID: 5092150698 Enrollment ID: I20240305000783 |
| Provider Name | Kristen Stodola |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013583798 PECOS PAC ID: 4082059621 Enrollment ID: I20240305002014 |
| Provider Name | Bradley Sachse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437556511 PECOS PAC ID: 9830534411 Enrollment ID: I20240305003584 |
| Provider Name | Nicholas Joseph Overbaugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184076754 PECOS PAC ID: 0547606139 Enrollment ID: I20240305004488 |
| Provider Name | Pahoua Xiong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932795499 PECOS PAC ID: 2062858608 Enrollment ID: I20240306001474 |
| Provider Name | Annette Knutson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851746549 PECOS PAC ID: 5294171849 Enrollment ID: I20240306001722 |
| Provider Name | Alexandra Kim Meitzen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417577230 PECOS PAC ID: 0244676898 Enrollment ID: I20240306001866 |
| Provider Name | Jennifer E Wangerin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306076096 PECOS PAC ID: 6002252665 Enrollment ID: I20240306002100 |
| Provider Name | Kathleen Vincent Phillipson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326283201 PECOS PAC ID: 1355787920 Enrollment ID: I20240306002505 |
| Provider Name | Mya R Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932765203 PECOS PAC ID: 4981040466 Enrollment ID: I20240306002934 |
| Provider Name | John Joseph Barrett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083483358 PECOS PAC ID: 1052757531 Enrollment ID: I20240306003091 |
| Provider Name | Lisa M Schneider |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538771944 PECOS PAC ID: 8628414117 Enrollment ID: I20240306003400 |
| Provider Name | Macey Lynn Villarreal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023445731 PECOS PAC ID: 2860838356 Enrollment ID: I20240306003504 |
| Provider Name | Kristine Ann Ludwig |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346952199 PECOS PAC ID: 6406292929 Enrollment ID: I20240307000045 |
| Provider Name | Adrien Prah |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720795669 PECOS PAC ID: 7315383841 Enrollment ID: I20240307000275 |
| Provider Name | Jack Gieche |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558766949 PECOS PAC ID: 4981040433 Enrollment ID: I20240307000821 |
| Provider Name | Amy M Lemberger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871873075 PECOS PAC ID: 8325484793 Enrollment ID: I20240307001563 |
| Provider Name | Loren Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710609110 PECOS PAC ID: 7810333200 Enrollment ID: I20240307002151 |
| Provider Name | Danielle Nicole Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811760952 PECOS PAC ID: 8628414018 Enrollment ID: I20240307002181 |
| Provider Name | Wendy Herrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417201633 PECOS PAC ID: 6103262506 Enrollment ID: I20240307002536 |
| Provider Name | Angela Marie Kupper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669252524 PECOS PAC ID: 7517303910 Enrollment ID: I20240307002707 |
| Provider Name | Lisa Marie Rafalski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326748153 PECOS PAC ID: 6305282724 Enrollment ID: I20240307003314 |
| Provider Name | Jessica Poteat |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144769043 PECOS PAC ID: 1850737289 Enrollment ID: I20240307003737 |
| Provider Name | Linda Sue Huckstep |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871013201 PECOS PAC ID: 8527404987 Enrollment ID: I20240308000293 |
| Provider Name | Micaela Killinger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386385151 PECOS PAC ID: 4789020058 Enrollment ID: I20240308001037 |
| Provider Name | James Louis Harrison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255371142 PECOS PAC ID: 9931545811 Enrollment ID: I20240313004431 |
| Provider Name | Amy Weidert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053029603 PECOS PAC ID: 4385080175 Enrollment ID: I20240315000324 |
| Provider Name | Nicholas Salazar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619660065 PECOS PAC ID: 9830535582 Enrollment ID: I20240315002624 |
| Provider Name | Lisa D Mclean |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427455807 PECOS PAC ID: 1153767801 Enrollment ID: I20240315002860 |
| Provider Name | Rebecca Fink-leach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376241950 PECOS PAC ID: 6800232596 Enrollment ID: I20240318000184 |
| Provider Name | Katrina M Tarke-karge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235438631 PECOS PAC ID: 2961849617 Enrollment ID: I20240318002522 |
| Provider Name | Julia Mueller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407244460 PECOS PAC ID: 3779920434 Enrollment ID: I20240318002605 |
| Provider Name | Kaitlyn Sheskey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346839545 PECOS PAC ID: 4284071887 Enrollment ID: I20240319000591 |
| Provider Name | Nolan J Campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205426244 PECOS PAC ID: 5395182901 Enrollment ID: I20240319001199 |
| Provider Name | Evan Hart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508043910 PECOS PAC ID: 6507203130 Enrollment ID: I20240319001856 |
| Provider Name | Ryan David Snead |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851054035 PECOS PAC ID: 7416394903 Enrollment ID: I20240320000035 |
| Provider Name | Cathy E. Ryan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1477836864 PECOS PAC ID: 1658718101 Enrollment ID: I20240320002208 |
| Provider Name | Dorothy Kozakowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588909196 PECOS PAC ID: 7113160847 Enrollment ID: I20240320003149 |
| Provider Name | Nicole Elizabeth Lotz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740805142 PECOS PAC ID: 4183061591 Enrollment ID: I20240321000502 |
| Provider Name | Jacob M Mecca-guillien |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033687090 PECOS PAC ID: 7214374503 Enrollment ID: I20240321004173 |
| Provider Name | Tom Mcbride |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306382916 PECOS PAC ID: 4688011893 Enrollment ID: I20240325000038 |
| Provider Name | Veronica Kelci Pyatt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821402991 PECOS PAC ID: 7416394549 Enrollment ID: I20240325001213 |
| Provider Name | Karyn Lynn Paisley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609487727 PECOS PAC ID: 4880031632 Enrollment ID: I20240328001606 |
| Provider Name | Anna B Roberts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891259958 PECOS PAC ID: 4880032606 Enrollment ID: I20240329000488 |
| Provider Name | Jenna Leigh Schaefer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669199154 PECOS PAC ID: 8921446774 Enrollment ID: I20240329001612 |
| Provider Name | Jeffrey Michael Nerone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023625506 PECOS PAC ID: 5294173043 Enrollment ID: I20240329001640 |
| Provider Name | Jody Reiss |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871030007 PECOS PAC ID: 8426496274 Enrollment ID: I20240329001785 |
| Provider Name | Brittney Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801331756 PECOS PAC ID: 1557709250 Enrollment ID: I20240401000756 |
| Provider Name | Colleen W Baird |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578018529 PECOS PAC ID: 6002254604 Enrollment ID: I20240402001262 |
| Provider Name | Amy Perkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427424720 PECOS PAC ID: 5092153486 Enrollment ID: I20240404000758 |
| Provider Name | Jennifer Limmex |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750836060 PECOS PAC ID: 5597103911 Enrollment ID: I20240404001901 |
| Provider Name | Ivan Ruvalcaba |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497396766 PECOS PAC ID: 1658719935 Enrollment ID: I20240405000125 |
| Provider Name | Cathy E. Ryan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477836864 PECOS PAC ID: 1658718101 Enrollment ID: I20240405000727 |
| Provider Name | Katrina Marie Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285807727 PECOS PAC ID: 6507204898 Enrollment ID: I20240405000766 |
| Provider Name | Jill Spielmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871991810 PECOS PAC ID: 2668810813 Enrollment ID: I20240405003388 |
| Provider Name | Alexander Wissing |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407487317 PECOS PAC ID: 2668810797 Enrollment ID: I20240409000816 |
| Provider Name | Patricia Michelle Carrington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013574409 PECOS PAC ID: 5294173373 Enrollment ID: I20240409002195 |
| Provider Name | Angela Povletich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326479510 PECOS PAC ID: 5890133904 Enrollment ID: I20240409003125 |
| Provider Name | Ashley L Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649825159 PECOS PAC ID: 7618315623 Enrollment ID: I20240409003460 |
| Provider Name | Kristin Joy Eitland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417433855 PECOS PAC ID: 6709224769 Enrollment ID: I20240410000258 |
| Provider Name | Brittany Witty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003513508 PECOS PAC ID: 9931548831 Enrollment ID: I20240411001865 |
| Provider Name | Sarah Wildish |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821700964 PECOS PAC ID: 9436598380 Enrollment ID: I20240411004327 |
| Provider Name | Ashley Ross |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376912972 PECOS PAC ID: 3779922232 Enrollment ID: I20240416003744 |
| Provider Name | Caley Mamerow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306446430 PECOS PAC ID: 2668812199 Enrollment ID: I20240501003032 |
| Provider Name | Christine Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063525913 PECOS PAC ID: 3274511563 Enrollment ID: I20240502003082 |
| Provider Name | Laura Janson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144580556 PECOS PAC ID: 9234570920 Enrollment ID: I20240513001660 |
| Provider Name | Danielle Spitzer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417256967 PECOS PAC ID: 0749621266 Enrollment ID: I20240515003053 |
| Provider Name | Andrea Dawydowycz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922783547 PECOS PAC ID: 1153762539 Enrollment ID: I20240516001359 |
| Provider Name | Elizabeth Anne Harms |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689453920 PECOS PAC ID: 4284076480 Enrollment ID: I20240520002041 |
| Provider Name | Angela B Siler |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982771317 PECOS PAC ID: 1759723547 Enrollment ID: I20240524000851 |
| Provider Name | Natalie M Clerkin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083330567 PECOS PAC ID: 1658713268 Enrollment ID: I20240529000708 |
| Provider Name | Jonah Mical Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972081347 PECOS PAC ID: 0648612051 Enrollment ID: I20240530000686 |
| Provider Name | Leah M Frazier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497418750 PECOS PAC ID: 9436591872 Enrollment ID: I20240530001665 |
| Provider Name | Lauren Griffith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003288234 PECOS PAC ID: 9335681394 Enrollment ID: I20240605001546 |
| Provider Name | Karen J Kiser-mikulanec |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700165768 PECOS PAC ID: 4981146354 Enrollment ID: I20240613000680 |
| Provider Name | Laura Ramos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033742275 PECOS PAC ID: 7618411463 Enrollment ID: I20240703001591 |
| Provider Name | Matthew Everett Rimer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962829929 PECOS PAC ID: 4385188994 Enrollment ID: I20240705003049 |
| Provider Name | William Stephen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326123175 PECOS PAC ID: 5496290991 Enrollment ID: I20240709002118 |
| Provider Name | Robin R Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639478308 PECOS PAC ID: 7618412016 Enrollment ID: I20240710001086 |
| Provider Name | James Holtz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023436979 PECOS PAC ID: 2466997879 Enrollment ID: I20240710001599 |
| Provider Name | Nicole M Scher-hubing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043551039 PECOS PAC ID: 9335684349 Enrollment ID: I20240715002255 |
| Provider Name | Vanessa Verran |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467087429 PECOS PAC ID: 7214473842 Enrollment ID: I20240719000494 |
| Provider Name | Paityn C Biro |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1477287852 PECOS PAC ID: 6709256191 Enrollment ID: I20240724001627 |
| Provider Name | Andrea Satre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598924391 PECOS PAC ID: 3870039647 Enrollment ID: I20240729002827 |
| Provider Name | Andrew Michael Clayton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437773736 PECOS PAC ID: 4082151725 Enrollment ID: I20240731001013 |
| Provider Name | Leeann Gause Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790270049 PECOS PAC ID: 8224575808 Enrollment ID: I20240731002981 |
| Provider Name | Bradley J Dexter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629713433 PECOS PAC ID: 6002353604 Enrollment ID: I20240731003605 |
| Provider Name | Brae Vlaj |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225712052 PECOS PAC ID: 3779020383 Enrollment ID: I20240731004336 |
| Provider Name | Suzanne M Stewart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003084526 PECOS PAC ID: 4789121757 Enrollment ID: I20240808000849 |
| Provider Name | Jennifer Ann Geisler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992380489 PECOS PAC ID: 7911444807 Enrollment ID: I20240809001108 |
| Provider Name | Eric R Downs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831870013 PECOS PAC ID: 8527506443 Enrollment ID: I20240809002686 |
| Provider Name | Rose Alina Summers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659070381 PECOS PAC ID: 1759829245 Enrollment ID: I20240815000291 |
| Provider Name | Anna K Ackerman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437996824 PECOS PAC ID: 6800334251 Enrollment ID: I20240815003109 |
| Provider Name | Jo Ann M Ahles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942789730 PECOS PAC ID: 2860930286 Enrollment ID: I20240816001557 |
| Provider Name | Jacquelyn R. Lyngdal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497443188 PECOS PAC ID: 9234677568 Enrollment ID: I20240816002553 |
| Provider Name | Erika Grahovac |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427599778 PECOS PAC ID: 6800334921 Enrollment ID: I20240820001382 |
| Provider Name | Emily C Giles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699488767 PECOS PAC ID: 2961940085 Enrollment ID: I20240820001498 |
| Provider Name | Shana R Martindale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639561368 PECOS PAC ID: 7214475342 Enrollment ID: I20240820002036 |
| Provider Name | Timothy A Hyer-devine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366291460 PECOS PAC ID: 5193263234 Enrollment ID: I20240820002241 |
| Provider Name | Brian Shawn Martinezdelacotera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730726753 PECOS PAC ID: 6305384314 Enrollment ID: I20240821001157 |
| Provider Name | Emma Low |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588043590 PECOS PAC ID: 9436698370 Enrollment ID: I20240823001194 |
| Provider Name | Bradley Ross |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154665214 PECOS PAC ID: 5092125922 Enrollment ID: I20240827002017 |
| Provider Name | Maria A Butts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174306591 PECOS PAC ID: 0840739991 Enrollment ID: I20240903002979 |
| Provider Name | Howard R Thirus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497209225 PECOS PAC ID: 5698194975 Enrollment ID: I20240906001165 |
| Provider Name | Alexis Elin Fliehs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821608878 PECOS PAC ID: 6709326556 Enrollment ID: I20240909000921 |
| Provider Name | Holly K Kegel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114238656 PECOS PAC ID: 0547700148 Enrollment ID: I20240910003014 |
| Provider Name | Katelyn Llewellyn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275950073 PECOS PAC ID: 7517407125 Enrollment ID: I20240910003592 |
| Provider Name | Naomi Arenzon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821760901 PECOS PAC ID: 9931649209 Enrollment ID: I20240912004045 |
| Provider Name | Jennifer L Toepfer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386729218 PECOS PAC ID: 5092256156 Enrollment ID: I20240917003570 |
| Provider Name | Keith P Stigler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134563158 PECOS PAC ID: 9436690278 Enrollment ID: I20240920001090 |
| Provider Name | Sarah Charneski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952839045 PECOS PAC ID: 4385185933 Enrollment ID: I20240923002086 |
| Provider Name | Maria Christine Erdmann Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497839922 PECOS PAC ID: 6608317219 Enrollment ID: I20240924000063 |
| Provider Name | Andrea Lynn Benslimane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144878638 PECOS PAC ID: 2860933314 Enrollment ID: I20240924002341 |
| Provider Name | Lori Elizabeth Dore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457872418 PECOS PAC ID: 8325589641 Enrollment ID: I20240926000256 |
| Provider Name | Emogene Flegner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356884084 PECOS PAC ID: 3274064803 Enrollment ID: I20241007000859 |
| Provider Name | Taylor Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972136984 PECOS PAC ID: 3173054632 Enrollment ID: I20241008002556 |
| Provider Name | Elizabeth I Woger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295481851 PECOS PAC ID: 4082145560 Enrollment ID: I20241008003522 |
| Provider Name | Amy L Everson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639536014 PECOS PAC ID: 0749712024 Enrollment ID: I20241010003752 |
| Provider Name | Autumn Rose Vaassen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285475756 PECOS PAC ID: 6406388719 Enrollment ID: I20241011000664 |
| Provider Name | Christina Caroline Ramos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225672710 PECOS PAC ID: 6608308937 Enrollment ID: I20241011001728 |
| Provider Name | Tou Chang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447917042 PECOS PAC ID: 2961934211 Enrollment ID: I20241011002258 |
| Provider Name | Allyce Jenny Arzikovic |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730961756 PECOS PAC ID: 8325570369 Enrollment ID: I20241016001221 |
| Provider Name | Kari Lois Walters Duncan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154942639 PECOS PAC ID: 6800328840 Enrollment ID: I20241016001566 |
| Provider Name | Kristin Laurel Metoxen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649356882 PECOS PAC ID: 1658803598 Enrollment ID: I20241016001904 |
| Provider Name | Katie J Foster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821494923 PECOS PAC ID: 9739611609 Enrollment ID: I20241016002926 |
| Provider Name | Kenneth Hartenstein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326469586 PECOS PAC ID: 3971035841 Enrollment ID: I20241016003093 |
| Provider Name | Aaron Robbins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346907649 PECOS PAC ID: 5890227771 Enrollment ID: I20241016003501 |
| Provider Name | Teresa Jane Bay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194213389 PECOS PAC ID: 9931631868 Enrollment ID: I20241017000503 |
| Provider Name | Madeline Bliske |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063188399 PECOS PAC ID: 3173055001 Enrollment ID: I20241017000669 |
| Provider Name | Sarah J Britton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891162046 PECOS PAC ID: 1658803481 Enrollment ID: I20241017001011 |
| Provider Name | Angela Marie Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184631558 PECOS PAC ID: 3971035726 Enrollment ID: I20241017001719 |
| Provider Name | Lindsey Kingsley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831785567 PECOS PAC ID: 5395277172 Enrollment ID: I20241017002908 |
| Provider Name | John Pitman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942879663 PECOS PAC ID: 7911439542 Enrollment ID: I20241021000912 |
| Provider Name | Jeremy Avner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306435508 PECOS PAC ID: 1759814999 Enrollment ID: I20241028000897 |
| Provider Name | Kim Michele Jaeger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851797070 PECOS PAC ID: 0446783690 Enrollment ID: I20241028001444 |
| Provider Name | Sherrina Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215578844 PECOS PAC ID: 8426581307 Enrollment ID: I20241030003635 |
| Provider Name | Kimberly Ann Robertson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326688797 PECOS PAC ID: 3870026644 Enrollment ID: I20241031003393 |
| Provider Name | Lindsey A Krauss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780248039 PECOS PAC ID: 1355875949 Enrollment ID: I20241105000804 |
| Provider Name | Rosemary Susan Moylan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568138899 PECOS PAC ID: 0840724449 Enrollment ID: I20241105001503 |
| Provider Name | Rebecca Lynn Crum Koppes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811240674 PECOS PAC ID: 7416481031 Enrollment ID: I20241105002352 |
| Provider Name | Sara Danielle Giboyeaux |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861252496 PECOS PAC ID: 0446784870 Enrollment ID: I20241107003562 |
| Provider Name | Jayme Matloub |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821720483 PECOS PAC ID: 2769916105 Enrollment ID: I20241107003805 |
| Provider Name | Kandis Gallentine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275225450 PECOS PAC ID: 2062946049 Enrollment ID: I20241113002938 |
| Provider Name | Sabrina N Stephens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538925839 PECOS PAC ID: 0941734677 Enrollment ID: I20241118000377 |
| Provider Name | Teresa A Souders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407924004 PECOS PAC ID: 9436251105 Enrollment ID: I20241118000435 |
| Provider Name | Monica Ann Pedraza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801100730 PECOS PAC ID: 9537693296 Enrollment ID: I20241118001418 |
| Provider Name | Margaret Tate Sawyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962244095 PECOS PAC ID: 4486189180 Enrollment ID: I20241118003592 |
| Provider Name | Patrice N Mcbeath |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043735129 PECOS PAC ID: 7315472917 Enrollment ID: I20241119003790 |
| Provider Name | Erin Renai Hernikl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114535374 PECOS PAC ID: 4789119207 Enrollment ID: I20241121000091 |
| Provider Name | Marisol E. Brost |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013553932 PECOS PAC ID: 7012442304 Enrollment ID: I20241122003218 |
| Provider Name | Sarah Magallon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386117851 PECOS PAC ID: 6305371550 Enrollment ID: I20241125001358 |
| Provider Name | Kevin Roum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477334555 PECOS PAC ID: 6002341138 Enrollment ID: I20241126000685 |
| Provider Name | Tasha L Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679347017 PECOS PAC ID: 0648705632 Enrollment ID: I20241127003320 |
| Provider Name | David Roman Pepper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851881452 PECOS PAC ID: 3375078298 Enrollment ID: I20241202000112 |
| Provider Name | Indigo Rai Beilfuss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639800105 PECOS PAC ID: 0749716413 Enrollment ID: I20241205002026 |
| Provider Name | Karen Lynn Hansen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780022079 PECOS PAC ID: 7012443567 Enrollment ID: I20241209000927 |
| Provider Name | Kevin James Kavanaugh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508312505 PECOS PAC ID: 1153799531 Enrollment ID: I20241210003565 |
Christian Life Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12630 W North Ave Bldg E, Brookfield, WI 53005 Phone: 262-785-1008 Fax: 262-432-9059 | |
Wellbrook Recovery Brookfield Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13850 West Capitol Drive Wellbrook Recovery, Brookfield, WI 53005 Phone: 414-867-9579 Fax: 414-409-5150 | |
Dbt Consultants Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 Phone: 414-305-6588 | |
The Anxiety Center Acquisition, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15850 W Bluemound Rd Ste 208, Brookfield, WI 53005 Phone: 262-719-5898 Fax: 262-641-9040 | |
Trueblood Psychological Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 19275 W Capitol Dr Ste 200, Brookfield, WI 53045 Phone: 262-222-2882 Fax: 414-431-6018 | |
Gorecki Psychological Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 19275 W Capitol Dr Ste 200, Brookfield, WI 53045 Phone: 262-546-7478 Fax: 262-373-0362 |