TELLURIAN, INC. (NPI# 1013261486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013261486 |
| Entity Type | Organization |
| Organization Name | TELLURIAN, INC. |
| Other Organization Name | TELLURIAN DETOXIFICATION CENTER |
| Practice Address |
2914 Industrial Dr Madison WI 53713-4047 |
| Practice Telephone | 6082233311 |
| Practice Fax Number | 6082233304 |
| Mailing Telephone | 6082233311 |
| Mailing Fax Number | 6082233304 |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2019-05-06 |
| Authorized Official Name | KELLY E CROOKS (QUALITY ASSURANCE MANAGER) |
| Authorized Official Telephone | 6086632120 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | Y |
| Parent Organization Name | TELLURIAN, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 1904 | WI | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Tellurian Detoxification Center | Other Name - Individual/Organization |
| Tellurian, UCAN, Inc. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043487697 | Tellurian, Inc. | Community/Behavioral Health | 2914 Industrial Dr, Madison, WI 53713-4047 | 2008-05-13 |
| 1164432118 | Tellurian, Inc. | Psychiatry & Neurology | 1053 Williamson St, Madison, WI 53703-3525 | 2006-08-09 |
| 1740213776 | Tellurian, Inc. | Community/Behavioral Health | 300 Femrite Dr, Monona, WI 53716-3716 | 2006-07-10 |
| 1104279330 | Tellurian, Inc. | Community/Behavioral Health | 414 Broadway St, Suite 101, Baraboo, WI 53913-2488 | 2016-07-22 |
| 1609129410 | Tellurian, Inc. | Community Based Residential Treatment Facility, Mental Illness | 300 Femrite Dr, Monona, WI 53716-3716 | 2012-10-17 |
| 1437401338 | Tellurian, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4647 Mormon Coulee Rd, La Crosse, WI 54601-8225 | 2012-10-03 |
| 1558638494 | Tellurian, Inc. | Substance Abuse Rehabilitation Facility | 300 Femrite Dr, Monona, WI 53716-3716 | 2011-11-21 |
| 1235302480 | Tellurian, Inc. | Community/Behavioral Health | 300 Femrite Dr, Monona, WI 53716-3716 | 2008-04-09 |
| Street Address |
2914 INDUSTRIAL DR |
| City | MADISON |
| State | WI |
| Zip Code | 53713-4047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043487697 | Tellurian, Inc. | Community/Behavioral Health | 2914 Industrial Dr, Madison, WI 53713-4047 | 2008-05-13 |
| 1760941116 | Quinton Richard Wedig | Counselor | 2914 Industrial Dr, Madison, WI 53713-4047 | 2019-03-15 |
| 1841658036 | Earle R Edwards | Counselor | 2914 Industrial Dr, Madison, WI 53713-4047 | 2016-02-03 |
| 1336541762 | Barbara L Allen | Counselor | 2914 Industrial Dr, Madison, WI 53713-4047 | 2014-09-17 |
| 1154676237 | Michelle Kanvik | Registered Nurse | 2914 Industrial Dr, Madison, WI 53713-4047 | 2012-07-16 |
| 1134474216 | Victoria Ericsson-moon | Registered Nurse | 2914 Industrial Dr, Madison, WI 53713-4047 | 2012-07-16 |
| 1881949956 | Laura A Wood | Registered Nurse | 2914 Industrial Dr, Madison, WI 53713-4047 | 2012-07-16 |
| 1073868147 | Karen A Schreier | Registered Nurse | 2914 Industrial Dr, Madison, WI 53713-4047 | 2012-07-16 |
| 1700131869 | Timothy J Gibneski | Registered Nurse | 2914 Industrial Dr, Madison, WI 53713-4047 | 2012-07-16 |
| 1114272291 | Stephanie Mendel | Registered Nurse | 2914 Industrial Dr, Madison, WI 53713-4047 | 2012-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406760 | Diana Kay Woodruff | Registered Nurse | Madison West Comprehensive Treatment Center, 151 E. Badger Rd. Suite A, Madison, WI 53713 | 2020-01-15 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1942799739 | Emily Natera | Counselor | 128 E. Olin Ave., Ste. 100, Madison, WI 53713 | 2018-05-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1548793060 | Racquel Williams-kroll | Registered Nurse | 151 East Badger Road Ste A, Madison, WI 53713 | 2017-04-11 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1013301779 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2840 Index Rd., Madison, WI 53713 | 2015-03-20 |
| 1902147721 | Jill Zimmerman | Occupational Therapy Assistant | 2801 Coho Street, Suite 300, Madison, WI 53713 | 2013-03-04 |
| Find all providers in zip 53713 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629618483 | Tennessee Recovery Clinic LLC | Substance Abuse Rehabilitation Facility | 131 Edenwold Rd, Madison, TN 37115-2428 | 2020-01-09 |
| 1215375472 | Hope Haven | Substance Abuse Rehabilitation Facility | 3602 Memorial Dr, Madison, WI 53704-1106 | 2013-06-10 |
| 1275681322 | Addiction & Mental Health Services, LLC | Substance Abuse Rehabilitation Facility | 1600 Browns Ferry Road, Madison, AL 35758 | 2007-01-08 |
| 1952927717 | Arc Dayton | Substance Abuse Rehabilitation Facility | 2009 E Dayton St, Madison, WI 53704-4720 | 2020-06-17 |
| 1225650096 | Arc Maternal and Infant Program | Substance Abuse Rehabilitation Facility | 4202 Monona Dr, Madison, WI 53716-1664 | 2020-05-14 |
| 1285774711 | Addiction & Mental Health Services Inc | Substance Abuse Rehabilitation Facility | 1600 Browns Ferry Road, Madison, AL 35758 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114415908 | Iris Health Clinic LLC | Substance Abuse Rehabilitation Facility | 260 S Elm Grove Rd, Brookfield, WI 53005-6522 | 2018-04-26 |
| 1396259420 | Whole Life Services LLC | Substance Abuse Rehabilitation Facility | 819 Ash St Ste 150, Spooner, WI 54801-1201 | 2017-11-28 |
| 1306298740 | Phoenix Counseling | Substance Abuse Rehabilitation Facility | 64 S 4th St, Barron, WI 54812-1503 | 2016-07-11 |
| 1043684251 | Millenium Manor, LLC | Substance Abuse Rehabilitation Facility | 4509 Arthur Rd, Slinger, WI 53086-9603 | 2015-11-25 |
| 1780081174 | Psthways To A Better Life 1, LLC | Substance Abuse Rehabilitation Facility | 13111 Lax Chapel Rd, Kiel, WI 53042-3954 | 2014-12-01 |
| 1710304878 | Exodus Transitional Care Facility Inc. | Substance Abuse Rehabilitation Facility | 1421 Fond Du Lac Ave, Kewaskum, WI 53040-9136 | 2014-03-26 |
| 1558798686 | Friends of Women In Recovery Inc. | Substance Abuse Rehabilitation Facility | 166 S Park Ave, Fond Du Lac, WI 54935-4441 | 2013-10-03 |
| 1457784662 | The Pines Treatment & Recovery Center | Substance Abuse Rehabilitation Facility | N3387 State Road 73, Wautoma, WI 54982-5257 | 2013-08-12 |
| 1831464536 | Alcocare Inc. | Substance Abuse Rehabilitation Facility | 786 S Main St, Janesville, WI 53545-4852 | 2012-03-13 |
| 1548538275 | Options Counseling Services, LLC | Substance Abuse Rehabilitation Facility | 9433 County Rd J, Minocqua, WI 54548-9318 | 2011-12-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TELLURIAN, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.