MARY T PAULI (NPI# 1073148656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073148656 |
| Entity Type | Individual |
| Full Name | MARY T PAULI |
| Credential | LCPC |
| Practice Address |
136 W Grand Ave Ste 250 Beloit WI 53511-6273 |
| Practice Telephone | 6083468315 |
| Mailing Telephone | 6083468315 |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
180.010034 | IL | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
7545-125 | WI | Behavioral Health & Social Service Providers |
| Street Address |
136 W GRAND AVE STE 250 |
| City | BELOIT |
| State | WI |
| Zip Code | 53511-6273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275937203 | Matthew Kindler | Social Worker | 136 W Grand Ave Ste 250, Beloit, WI 53511-6273 | 2014-10-20 |
| 1790245405 | Nicole Therese Finley | Marriage & Family Therapist | 136 W Grand Ave Ste 250, Beloit, WI 53511-6273 | 2019-03-20 |
| 1972099505 | Melissa L Beckford | Counselor | 136 W Grand Ave Ste 250, Beloit, WI 53511-6273 | 2018-07-06 |
| 1063905461 | Cheryl Buroker | Counselor | 136 W Grand Ave Ste 250, Beloit, WI 53511-6273 | 2018-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
| 1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
| 1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
| 1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
| 1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
| 1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
| Find all providers in zip 53511 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
| 1922549567 | Jackie L Miller | Counselor | 1517 E Huebbe Pkwy Ste A, Beloit, WI 53511-1795 | 2017-03-15 |
| 1265976088 | Sheryl Pickering | Counselor | 611 E Grand Ave Ste 2b, Beloit, WI 53511-6399 | 2016-12-13 |
| 1093869505 | Family Services of Southern Wisconsin and Northern Illinois | Counselor | 423 Bluff St, Beloit, WI 53511-6115 | 2007-01-22 |
| 1205997061 | Deborah Jeanne Lalor | Counselor | 64 Beloit Mall, Beloit, WI 53511-3550 | 2006-12-13 |
| 1427024678 | Karla J. Degarmo-haakenson | Counselor | 2825 Prairie Ave, Beloit, WI 53511-1844 | 2006-02-27 |
| 1538709878 | E&p Psychotherapy LLC | Counselor | 611 E Grand Ave Ste 2b, Beloit, WI 53511-6399 | 2020-01-15 |
| 1982170973 | Shanleigh Bechard | Counselor | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2018-10-17 |
| 1396211512 | Joan M Curtis | Counselor | 416 College St, Beloit, WI 53511-6310 | 2018-10-15 |
| 1063905461 | Cheryl Buroker | Counselor | 136 W Grand Ave Ste 250, Beloit, WI 53511-6273 | 2018-06-11 |
| Find all providers in BELOIT | ||||
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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.