MOLLY CHRISTOFFERSON (NPI# 1124422068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124422068 |
| Entity Type | Individual |
| Full Name | MOLLY CHRISTOFFERSON |
| Credential | SAC-IT |
| Practice Address |
1626 Clarence Ct West Bend WI 53095-8533 |
| Practice Telephone | 2623388611 |
| Practice Fax Number | 2623383367 |
| Mailing Telephone | 2623388611 |
| Mailing Fax Number | 2623383367 |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16866-130 | WI | Behavioral Health & Social Service Providers |
| Street Address |
1626 CLARENCE CT |
| City | WEST BEND |
| State | WI |
| Zip Code | 53095-8533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306920905 | Arun Vasudev Parikh | Psychiatry & Neurology | 1626 Clarence Ct, Genesis Behavioral Services, West Bend, WI 53095-8533 | 2006-10-24 |
| 1003271693 | Ashley Elizabeth Birkholz | Counselor | 1626 Clarence Ct, West Bend, WI 53095-8533 | 2015-12-23 |
| 1295129344 | Gregory Strout | Counselor | 1626 Clarence Ct, West Bend, WI 53095-8533 | 2015-03-26 |
| 1023409794 | Jennifer Ryan | Counselor | 1626 Clarence Ct, West Bend, WI 53095-8533 | 2015-02-16 |
| 1629472899 | Erica Monzingo | Counselor | 1626 Clarence Ct, West Bend, WI 53095-8533 | 2014-10-17 |
| 1710309059 | Andrew Jacob Freeman | Counselor | 1626 Clarence Ct, West Bend, WI 53095-8533 | 2014-01-06 |
| 1205267994 | Maria Mcdermit | Counselor | 1626 Clarence Ct, West Bend, WI 53095-8533 | 2013-12-05 |
| 1881948289 | Jamie Leigh Sarauer | Counselor | 1626 Clarence Ct, West Bend, WI 53095-8533 | 2012-11-07 |
| 1669726360 | Chloe E Rautmann | Counselor | 1626 Clarence Ct, West Bend, WI 53095-8533 | 2012-11-01 |
| 1043588254 | Genesis Behavorial Services, Inc | Community/Behavioral Health | 1626 Clarence Ct, West Bend, WI 53095-8533 | 2011-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1922664358 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1745 South Main St, West Bend, WI 53095 | 2019-05-10 |
| 1912423773 | Michelle R Prentice | Family Medicine | West Bend Health Center, 1700 W. Paradise Drive, West Bend, WI 53095 | 2017-08-14 |
| 1386165918 | Quad/med, LLC | Clinic/Center | 432 E. Washington St. #1115, West Bend, WI 53095 | 2017-07-05 |
| 1508230632 | Jesen Daniel | Counselor | 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 | 2015-12-01 |
| 1477965259 | Jenna Crofts | Specialist/Technologist | 1190 East Paradise Drive, West Bend, WI 53095 | 2014-05-28 |
| 1023436342 | Visionworks | Optometrist | 1437 S. Main St., West Bend, WI 53095 | 2014-04-03 |
| 1295157295 | Stephanie Rabe | Registered Nurse | 910 E. Paradise Drive, West Bend, WI 53095 | 2014-01-09 |
| 1477898815 | Ralph Norman Olsen | Pediatrics | 6267 Riesch Road, West Bend, WI 53095 | 2012-12-11 |
| 1932458536 | Joshua Aaron Barta | Dentist | 2090 Continental Drive, West Bend, WI 53095 | 2012-08-29 |
| Find all providers in zip 53095 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907392 | Michelle Monroe | Counselor | 601 Kohler Dr, West Bend, WI 53090-9036 | 2020-03-13 |
| 1396219150 | Mueller Counseling LLC | Counselor | 1784 Barton Ave Ste 9, West Bend, WI 53090-5418 | 2019-01-15 |
| 1962748624 | Lynn Gillian-nowak | Counselor | 1519 E Washington St Ste A, West Bend, WI 53095-2615 | 2012-12-27 |
| 1306004999 | Genesis Behavioral Services, Inc. | Counselor | 1626 Clarence Court, West Bend, WI 53095 | 2008-05-30 |
| 1013049204 | Renee M Janusz | Counselor | 333 E Washington St Ste 2000, West Bend, WI 53095-2502 | 2007-03-12 |
| 1891701447 | Sheryl Klein-wassink | Counselor | 400 W River Dr, West Bend, WI 53090-1567 | 2006-08-01 |
| 1164438891 | Jason Jugan | Counselor | 1622 Chestnut St, West Bend, WI 53095-3014 | 2006-08-01 |
| 1609801778 | Washington County Wisconsin | Counselor | 333 E. Washington Street, Suite 2100, West Bend, WI 53095-2585 | 2006-07-11 |
| 1740752393 | Tiernee Schatz | Counselor | 400 W River Dr, West Bend, WI 53090-1518 | 2018-12-20 |
| 1609355452 | Lakeshore Wellness and Recovery Inc | Counselor | 1519 E Washington St Ste A, West Bend, WI 53095-2615 | 2018-08-13 |
| Find all providers in WEST BEND | ||||
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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.