Oregon Mental Health Services,llc | |
165 W Netherwood St Ste A Oregon WI 53575-1107 | |
(608) 835-5050 | |
(608) 835-5010 |
Full Name | Oregon Mental Health Services,llc |
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Speciality | Counselor |
Location | 165 W Netherwood St Ste A, Oregon, Wisconsin |
Authorized Official Name and Position | Mary J Sella (CLINIC OWNER) |
Authorized Official Contact | 6088355050 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Oregon Mental Health Services,llc 165 W Netherwood St Ste A Oregon WI 53575-1107 Ph: (608) 835-5050 | Oregon Mental Health Services,llc 165 W Netherwood St Ste A Oregon WI 53575-1107 Ph: (608) 835-5050 |
NPI Number | 1801925433 |
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Provider Enumeration Date | 03/02/2007 |
Last Update Date | 08/12/2015 |
Medicare PECOS PAC ID | 0143393884 |
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Medicare Enrollment ID | O20080714000649 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801925433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 2513 (Wisconsin) | Primary |
Provider Name | Mary J Sella |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649354416 PECOS PAC ID: 8820993009 Enrollment ID: I20040625000257 |
Provider Name | Sarah L Fritz |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871655613 PECOS PAC ID: 2961479944 Enrollment ID: I20051128000774 |
Provider Name | Henry S Bothfeld |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407119977 PECOS PAC ID: 7012211667 Enrollment ID: I20160202002329 |
Provider Name | Emily Ruth Stormont |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053771212 PECOS PAC ID: 6002168747 Enrollment ID: I20181009000716 |
Provider Name | Antonio G Sella |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750672648 PECOS PAC ID: 6507283892 Enrollment ID: I20200901002595 |
Provider Name | Bonnie L Buschke |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770106023 PECOS PAC ID: 7416338058 Enrollment ID: I20220714000240 |
Provider Name | Lori Donahue |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942648399 PECOS PAC ID: 5991180051 Enrollment ID: I20220910000697 |
Provider Name | Sarah J Drennan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164138780 PECOS PAC ID: 7618331786 Enrollment ID: I20230908000980 |
Provider Name | Gina Ann Lundervold - Foley |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1831563444 PECOS PAC ID: 4385081363 Enrollment ID: I20240326002971 |
Provider Name | Kimberly K Hoover |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1871186262 PECOS PAC ID: 5092154518 Enrollment ID: I20240417001531 |
Provider Name | Joslynne M Rackow |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1487179222 PECOS PAC ID: 3476992678 Enrollment ID: I20240422000645 |
Provider Name | Jean Schwartz |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1407107899 PECOS PAC ID: 5799125480 Enrollment ID: I20240429001269 |
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