| Shawano County Department Of Community Programs | |
|
504 Lakeland Rd Shawano WI 54166 | |
| (715) 526-5547 | |
| (715) 526-5542 |
| Full Name | Shawano County Department Of Community Programs |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 504 Lakeland Rd, Shawano, Wisconsin |
| Authorized Official Name and Position | Barbara Larson-herber (EXECUTIVE PROGRAM DIRECTOR) |
| Authorized Official Contact | 7155265547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawano County Department Of Community Programs 504 Lakeland Rd Shawano WI 54166 Ph: (715) 526-5547 | Shawano County Department Of Community Programs 504 Lakeland Rd Shawano WI 54166 Ph: (715) 526-5547 |
| NPI Number | 1497896641 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 12/14/2011 |
| Medicare PECOS PAC ID | 3779594874 |
|---|---|
| Medicare Enrollment ID | O20111227000666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497896641 | NPI | - | NPPES |
| 42132800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1831 (Wisconsin) | Primary |
| Provider Name | Michael J Eis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689653214 PECOS PAC ID: 2769561257 Enrollment ID: I20100306000374 |
| Provider Name | Amy K Wondra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346643426 PECOS PAC ID: 6204148539 Enrollment ID: I20150630000279 |
| Provider Name | Jenna S Hesse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811495294 PECOS PAC ID: 7113315318 Enrollment ID: I20211020001924 |
| Provider Name | Judy Laude |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942607056 PECOS PAC ID: 2062855109 Enrollment ID: I20240206002949 |
| Provider Name | Lindsey Janikowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205533676 PECOS PAC ID: 5597108704 Enrollment ID: I20240226003293 |
| Provider Name | Jennifer Frost |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447689450 PECOS PAC ID: 4183067283 Enrollment ID: I20240506000488 |
Synergy Counseling Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 East Green Bay St., Suite 191, Shawano, WI 54166 Phone: 715-526-5466 Fax: 715-526-5545 | |
St. Vincent Hospital - Libertas Of Shawano Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 E Green Bay St, Shawano, WI 54166 Phone: 715-201-0870 | |
Bridge The Gap, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 E Green Bay St, Suite 111, Shawano, WI 54166 Phone: 715-526-3791 Fax: 715-526-5537 | |
Be Well Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 420 E Green Bay St, Suite 107, Shawano, WI 54166 Phone: 715-853-8953 Fax: 715-201-0395 | |
Strive Behavioral Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1542 Industrial Dr, Shawano, WI 54166 Phone: 920-209-3166 | |
King Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1488 E Green Bay St, Shawano, WI 54166 Phone: 715-524-5355 | |
Shawano County Dept Of Human Services-lakeland Center Crisis Svcs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 Lakeland Rd, Shawano, WI 54166 Phone: 715-526-4700 Fax: 715-526-5542 |