TODD BADER (NPI# 1083941389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083941389 |
Entity Type | Individual |
Full Name | TODD BADER |
Credential | MA,LPC |
Practice Address |
724 Front St Suite 511 Evanston WY 82931 |
Mailing Address |
Po Box 492 Evanston WY 82931-0492 |
Practice Telephone | 3077998640 |
Practice Fax Number | 3077892866 |
Mailing Telephone | 3077998640 |
Mailing Fax Number | 3077892866 |
Enumeration Date | 2009-11-06 |
Last Update Date | 2012-10-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | LPC-519 | WY | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
512 | WY | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
512 | WY | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649366949 | Todd A. Bader | Obstetrics & Gynecology | 200 E Chestnut St, Louisville, KY 40202-1831 | 2006-10-05 |
Street Address |
724 FRONT ST SUITE 511 |
City | EVANSTON |
State | WY |
Zip Code | 82931 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245577410 | Bellkins Paps | Durable Medical Equipment & Medical Supplies | 724 Front St, Ste 525, Evanston, WY 82930-3589 | 2013-01-08 |
1568706117 | Uinta Home Sleep Testing | Physiological Laboratory | 724 Front St, Suite 523, Evanston, WY 82930-3589 | 2012-11-20 |
1093060121 | Wayne A Bell | Physiological Laboratory | 724 Front St, Suite 523, Evanston, WY 82930-3589 | 2012-07-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184242521 | Elevation Medical Imaging Evanston LLC | Clinic/Center | 1535 South Hwy 150, Evantson, WY 82931 | 2020-07-13 |
1669564712 | Roger Nelson Scarborough | Counselor | 831 Highway 150 South, Evanston, WY 82931 | 2006-09-28 |
1598868689 | Mary Elizabeth Coffeen-carley | Nurse Practitioner | 831 St. Highway, 150 South, Wyoming State Hospital, Evanston, WY 82931 | 2006-09-06 |
1114387677 | Patricia Ann Roberts | Social Worker | 831 S Hwy 150, Evanston, WY 82931-0177 | 2016-02-26 |
1548389091 | Donald Roger Rardin | Psychologist | Highway 150 South, Evanston, WY 82931-0177 | 2007-03-28 |
1265479075 | Uinta Senior Citizens | Home Health | 1229 Uinta St, Evanston, WY 82931-0728 | 2006-06-01 |
1457358376 | Tender Heart Home Care Hospice | Case Management | 624 Twin Ridge, Evanston, WY 82931-2130 | 2005-07-07 |
1174805402 | High Country Behavioral Health | Clinic/Center | 190 Overthrust Rd., Evanston, WY 82931-2910 | 2011-09-13 |
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 |
---|---|---|---|---|
1245876408 | John Lee Choi | Counselor | 1007 Church St Ste 302, Evanston, IL 60201-5912 | 2019-11-22 |
1386161131 | Aser L Williams | Counselor | 900 Chicago Ave # 204, Evanston, IL 60202-1872 | 2017-08-23 |
1811445455 | Verda Bhatti | Counselor | 701 Oakton St, Evanston, IL 60202-2991 | 2016-09-12 |
1366862187 | Andrew Ross | Counselor | 1557 Sherman Ave Ste 5, Evanston, IL 60201-4836 | 2014-04-19 |
1013274174 | Christopher G. Miller | Counselor | 2509 Thayer St, Evanston, IL 60201-1319 | 2012-04-13 |
1730410077 | Scott Conklin | Counselor | 636 Church St Ste 420, Evanston, IL 60201-4580 | 2010-01-27 |
1457680795 | Raquel Galan | Counselor | 1604 Chicago Avenue, Suite 10, Evanston, IL 60201 | 2009-12-16 |
1760502959 | Olga Mest Interpreters Inc | Counselor | 2123 Wesley Ave, Evanston, IL 60201 | 2007-03-30 |
1124146998 | Tamara L. Newell | Counselor | 445 Ridge Ave, Evanston, IL 60202-5345 | 2007-03-27 |
1225175540 | Timothy F. Dwyer | Counselor | 618 Library Place, Evanston, IL 60201 | 2007-01-30 |
Find all providers in EVANSTON |
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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.