MRS. TERESA ANN MADSEN (NPI# 1063407088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063407088 |
| Entity Type | Individual |
| Full Name | MRS. TERESA ANN MADSEN |
| Other Name | MRS. TERESA ANN JOHNSON |
| Credential | CCSC II BS ALLIED |
| Practice Address |
123 19th St Ne Watertown SD 57201-2823 |
| Mailing Address |
Po Box 1030 Watertown SD 57201-6030 |
| Practice Telephone | 6058860123 |
| Practice Fax Number | 6058865447 |
| Mailing Telephone | 6058860123 |
| Mailing Fax Number | 6058865447 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 9607928 | SD | Behavioral Health & Social Service Providers |
| Street Address |
123 19TH ST NE |
| City | WATERTOWN |
| State | SD |
| Zip Code | 57201-2823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255955720 | Jennifer Hansen | Counselor | 123 19th St Ne, Watertown, SD 57201-2823 | 2020-06-01 |
| 1881230274 | Debra Griffith | Counselor | 123 19th St Ne, Watertown, SD 57201-2823 | 2019-11-21 |
| 1871135087 | Cora Sorensen | Counselor | 123 19th St Ne, Watertown, SD 57201-2823 | 2019-10-09 |
| 1114586989 | Amanda Ulmer | Counselor | 123 19th St Ne, Watertown, SD 57201-2823 | 2019-06-06 |
| 1730647488 | Jamie Block | Case Manager/Care Coordinator | 123 19th St Ne, Watertown, SD 57201-2823 | 2019-03-12 |
| 1750853222 | Heather Oaks | Licensed Practical Nurse | 123 19th St Ne, Watertown, SD 57201-2823 | 2018-12-21 |
| 1730650938 | Brianna Stangl | Social Worker | 123 19th St Ne, Watertown, SD 57201-2823 | 2018-12-16 |
| 1275013484 | Heather Anne Brenden | Counselor | 123 19th St Ne, Watertown, SD 57201-2823 | 2018-08-16 |
| 1154840932 | Liza Jensen | Pharmacist | 123 19th St Ne, Watertown, SD 57201-2823 | 2017-09-13 |
| 1235658097 | Kay Lynn Quale | Pharmacist | 123 19th St Ne, Watertown, SD 57201-2823 | 2017-09-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878032 | Samantha Kay Kratovil | Dietitian, Registered | 4 19th St Ne, Watertown, SD 57201 | 2019-12-12 |
| 1326516501 | Edgewood Watertown Mc 2 LLC | Assisted Living Facility | 225 14 Ave Ne, Watertown, SD 57201 | 2018-11-06 |
| 1023503406 | Rhonda Jean Cyre | Occupational Therapy Assistant | 613 B 1st Ave Se, Watertown, SD 57201 | 2018-06-27 |
| 1083160717 | Joyce Anderson | Psychologist | 1124 Konrady Dr. Ne, Watertown, SD 57201 | 2016-09-01 |
| 1336584630 | Jeffrey Alan Dorrity | Otolaryngology | 1201 Mickelson Dr, Watertown, SD 57201 | 2013-05-01 |
| 1427397389 | Vickie Lynn Burchatz | Occupational Therapy Assistant | 415 Fourth Avenue Ne, Golden Living Center, Watertown, SD 57201 | 2013-02-12 |
| 1215292560 | Eagle Vision | Eyewear Supplier (Equipment, not the service) | 906 1/2 9th Ave Se, Watertown, SD 57201 | 2012-07-11 |
| 1669777462 | Eve Lynn Hensler | Audiologist | 405 18th Ave. Ne, Professional Hearing Services, Inc., Watertown, SD 57201 | 2011-01-26 |
| 1760792261 | Maria Redmond | Physical Therapist | 810 South Maple, Watertown, SD 57201 | 2010-10-18 |
| 1194918995 | Colette Wheeler | Occupational Therapist | 17330, 458th Ave, Watertown, SD 57201 | 2007-08-24 |
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| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992167951 | Amanda Carter-boomsma | Counselor | 100 S Maple Ste 204, Watertown, SD 57201-3772 | 2016-03-28 |
| 1093137747 | Stacey Dawn Bohlmann | Counselor | 2337 10th Ave Sw, Watertown, SD 57201-7081 | 2014-01-15 |
| 1801188115 | Erin Cohen | Counselor | 14 Berkeley St, Apt. 1f, Watertown, MA 02472-2845 | 2011-05-04 |
| 1306848247 | David E. Brown | Counselor | 126 N Rutland St, Apt 2, Watertown, NY 13601-2833 | 2005-08-11 |
| 1811505530 | Meghan Maureen O'neill | Counselor | 51 Kondazian St, Watertown, MA 02472-2830 | 2020-07-20 |
| 1215576913 | Ornella Lozier | Counselor | 51 Kondazian St, Watertown, MA 02472-2830 | 2019-12-27 |
| 1225675028 | Kelly Carvalho | Counselor | 51 Kondazian St, Watertown, MA 02472-2830 | 2019-11-30 |
| 1811532989 | Abubaker Alwahab | Counselor | 51 Kondazian St, Watertown, MA 02472-2830 | 2019-11-13 |
| 1871135087 | Cora Sorensen | Counselor | 123 19th St Ne, Watertown, SD 57201-2823 | 2019-10-09 |
| 1851948186 | Jessica Gao | Counselor | 51 Kondazian St, Watertown, MA 02472-2830 | 2019-08-21 |
| Find all providers in WATERTOWN | ||||
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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.