ALEXANDRIA GRACE VIETH (NPI# 1043770365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043770365 |
| Entity Type | Individual |
| Full Name | ALEXANDRIA GRACE VIETH |
| Credential | SAC-IT |
| Practice Address |
1610 Miller Park Way Milwaukee WI 53214-3604 |
| Practice Telephone | 4146723801 |
| Practice Fax Number | 4146726026 |
| Mailing Telephone | 4146723801 |
| Mailing Fax Number | 4146726026 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
18824-130 | WI | Behavioral Health & Social Service Providers |
| Street Address |
1610 MILLER PARK WAY |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53214-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033751599 | Crystal Marie Sims | Counselor | 1610 Miller Park Way, Milwaukee, WI 53214-3604 | 2019-10-16 |
| 1588221915 | Danielle York | Registered Nurse | 1610 Miller Park Way, Milwaukee, WI 53214-3604 | 2019-05-21 |
| 1215499728 | Karen Shanahan | Counselor | 1610 Miller Park Way, Milwaukee, WI 53214-3604 | 2019-04-03 |
| 1649737529 | Elizabeth Wills | Licensed Practical Nurse | 1610 Miller Park Way, Milwaukee, WI 53214-3604 | 2019-02-27 |
| 1124598529 | Leah Marie Rajchel | Counselor | 1610 Miller Park Way, Milwaukee, WI 53214-3604 | 2018-11-28 |
| 1033685540 | Derek R Thruman | Counselor | 1610 Miller Park Way, Milwaukee, WI 53214-3604 | 2018-10-23 |
| 1538671409 | Therese Robinson | Counselor | 1610 Miller Park Way, Milwaukee, WI 53214-3604 | 2017-10-31 |
| 1487171542 | Alexis Simone Jefferson | Registered Nurse | 1610 Miller Park Way, Milwaukee, WI 53214-3604 | 2017-08-29 |
| 1649713918 | Iran O Jennings | Counselor | 1610 Miller Park Way, Milwaukee, WI 53214-3604 | 2016-11-18 |
| 1205383270 | Rebecca Knapp | Licensed Practical Nurse | 1610 Miller Park Way, Milwaukee, WI 53214-3604 | 2016-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740740208 | Melanie Figueroa | Counselor | West Milwaukee Ctc, 1610 Miller Park Way, West Milwaukee, WI 53214 | 2019-03-21 |
| 1619403011 | Lea Salome Denny | Counselor | 8626b W Greenfield Ave, Suite B300, West Allis, WI 53214 | 2017-05-04 |
| 1891148318 | West Allis Prescription Center Inc | Pharmacy | 6737 W Washington Ave, Suite 1100, West Allis, WI 53214 | 2016-07-20 |
| 1316390495 | Kristina Overlee | Nurse Practitioner | 6737 W. Washington Street, Suite 2150, West Allis, WI 53214 | 2016-07-13 |
| 1801239843 | Daniel Anthony Cichy | Pharmacist | 10101 W Greenfield Ave Ste 130, West Allis, WI 53214 | 2013-04-09 |
| 1295072544 | Wisconsin Vision, Inc. | Optometrist | 1220 Miller Park Way, West Milwaukee, WI 53214 | 2013-01-07 |
| 1831457720 | Kevin Konieczka | Physical Therapist | 1224 Miller Parkway, Milwaukee, WI 53214 | 2012-04-27 |
| 1497031843 | Jill Elizabeth Gerou | Registered Nurse | 8420 West Greenfield Ave, Apartment #7, West Allis, WI 53214 | 2011-10-31 |
| 1700176815 | Carolyn Hasek | Counselor | 1126 S 70th St Ste 112-113, West Allis, WI 53214 | 2011-04-10 |
| 1972802775 | Barbara Smith | Licensed Practical Nurse | 651 S 63 St, Apt1, Milwaukee, WI 53214 | 2011-03-18 |
| Find all providers in zip 53214 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879982 | Veronicia S Green | Counselor | 2821 N Vel R Phillips Ave Ste 131, Milwaukee, WI 53212-2370 | 2020-10-19 |
| 1932733193 | 1 Step Away Divine Counseling Service LLC | Counselor | 6815 W Capitol Dr Ste 308, Milwaukee, WI 53216-2056 | 2020-02-26 |
| 1689216293 | Carollyn Black | Counselor | 4892 N 19th St, Milwaukee, WI 53209-5757 | 2019-10-15 |
| 1861046146 | Lisa Marie Ortiz | Counselor | 3336 S 76th St, Milwaukee, WI 53219-3805 | 2019-07-25 |
| 1891359576 | Kenneth Ginlack Sr Consulting Services LLC | Counselor | 3927 S Howell Ave Ste 102, Milwaukee, WI 53207-4421 | 2019-04-27 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1992280218 | Tanya Lynn Peters | Counselor | 9224 W Burleigh St, Milwaukee, WI 53222-3503 | 2018-10-02 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| Find all providers in MILWAUKEE | ||||
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| 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.