SHELLEY J BROOKENS (NPI# 1063720332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063720332 |
| Entity Type | Individual |
| Full Name | SHELLEY J BROOKENS |
| Other Name | SHELLEY J MORRISSEY |
| Credential | LPC, SAC-IT |
| Practice Address |
625 W Washington Ave Madison WI 53703-2637 |
| Practice Telephone | 6082802707 |
| Practice Fax Number | 6082802700 |
| Mailing Telephone | 6082802707 |
| Mailing Fax Number | 6082802700 |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2012-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15991-130 | WI | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
4841-125 | WI | Behavioral Health & Social Service Providers |
| Street Address |
625 W WASHINGTON AVE |
| City | MADISON |
| State | WI |
| Zip Code | 53703-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396798914 | Jantina R Vonk | Psychiatry & Neurology | 625 W Washington Ave, Madison, WI 53703-2637 | 2006-05-17 |
| 1982057428 | Christen Leigh Starke | Counselor | 625 W Washington Ave, Madison, WI 53703-2637 | 2016-07-20 |
| 1740633726 | Emre Umucu | Counselor | 625 W Washington Ave, Madison, WI 53703-2637 | 2016-07-14 |
| 1215387162 | Anne-marie Kiera' Westenberg | Counselor | 625 W Washington Ave, Madison, WI 53703-2637 | 2016-06-21 |
| 1023466554 | Laurinda S Wittenhagen | Social Worker | 625 W Washington Ave, Madison, WI 53703-2637 | 2016-05-25 |
| 1215385737 | Dechen Wangmo | Counselor | 625 W Washington Ave, Madison, WI 53703-2637 | 2016-05-25 |
| 1407202179 | Kelsey Telega | Counselor | 625 W Washington Ave, Madison, WI 53703-2637 | 2016-05-11 |
| 1629423645 | Jacob Salwolke | Counselor | 625 W Washington Ave, Madison, WI 53703-2637 | 2016-04-27 |
| 1801241823 | Amanda Terrinoni | Counselor | 625 W Washington Ave, Madison, WI 53703-2637 | 2016-04-27 |
| 1316306632 | Justin Burton | Counselor | 625 W Washington Ave, Madison, WI 53703-2637 | 2016-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
| 1407327844 | Deborah Ann Pape | Psychologist | 350 S. Hamilton St., Unit 504, Madison, WI 53703 | 2018-12-11 |
| 1336660216 | Kevin Shuai Lian | Radiology | 420 W Dayton St Unit 1142, Madison, WI 53703 | 2017-06-30 |
| 1295279461 | Colin T Graney | Podiatrist | 664 W. Washington Ave, Madison, WI 53703 | 2016-12-07 |
| 1093193690 | Ashley Przybilla | Pediatrics | Group Health Cooperative of South Central Wisconsin, 675 West Washington Avenue, Madison, WI 53703 | 2015-05-14 |
| 1043606841 | Kevin P Emmerich | Emergency Medicine | 390 West Johnson St, Madison, WI 53703 | 2015-04-09 |
| 1376983155 | Ann Renee Wingate | Counselor | 16 N. Hancock Street, Hancock Center, Madison, WI 53703 | 2013-06-26 |
| 1013269398 | See Inc | Optometrist | 437 State St, Madison, WI 53703 | 2012-10-10 |
| 1518243237 | Nathan Dufault | Specialist/Technologist | 305 S. Livingston St., Madison, WI 53703 | 2011-10-26 |
| 1518264142 | Candice Y Lewis | Health Maintenance Organization | 675 W.washington Ave. Group Health Cooperative of South, Madison, WI 53703 | 2011-02-17 |
| Find all providers in zip 53703 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
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| 1740803097 | Megan Gour | Counselor | 8102 Wellness Way, Madison, WI 53719-8800 | 2020-05-21 |
| 1578197141 | Nicole Danielle Morra | Counselor | 141 Durham Rd Ste 19, Madison, CT 06443-2657 | 2020-02-23 |
| 1982236741 | Jolin Mitchel | Counselor | 437 S Yellowstone Dr Ste 219, Madison, WI 53719-1061 | 2020-02-10 |
| 1346880127 | Tree of Life Treatment Services | Counselor | 437 S Yellowstone Dr Ste 200, Madison, WI 53719-2902 | 2020-01-09 |
| 1720623226 | Reflections Mental Health LLC | Counselor | 2802 Coho St Ste 203, Madison, WI 53713-4521 | 2019-11-08 |
| 1740822287 | Diamond Jones | Counselor | 2093 W Us 90, Madison, FL 32340-4308 | 2019-10-16 |
| 1457819617 | Emma Coleen Tagariello | Counselor | 170 Ridgedale Ave, Madison, NJ 07940-1220 | 2019-03-06 |
| 1144785940 | Vallis LLC | Counselor | 814 Palmer Rd Ste B4, Madison, AL 35758-3185 | 2019-02-05 |
| Find all providers in MADISON | ||||
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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.