THOMAS MICHAEL SURENDONK (NPI# 1134292709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134292709 |
| Entity Type | Individual |
| Full Name | THOMAS MICHAEL SURENDONK |
| Credential | MSSW |
| Practice Address |
420 1st Ave S Wisconsin Rapids WI 54495-4157 |
| Mailing Address |
Po Box 1535 Wisconsin Rapids WI 54495-1535 |
| Practice Telephone | 7154243400 |
| Practice Fax Number | 7154243441 |
| Mailing Telephone | 7154243400 |
| Mailing Fax Number | 7154243441 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
348-123 | WI | Behavioral Health & Social Service Providers |
| Street Address |
420 1ST AVE S |
| City | WISCONSIN RAPIDS |
| State | WI |
| Zip Code | 54495-4157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821178831 | Michael Jan Nelson | Psychologist | 420 1st Ave S, Wisconsin Rapids, WI 54495-4157 | 2006-10-16 |
| 1174895809 | Constance K Virnig | Counselor | 420 1st Ave S, Po 1535, Wisconsin Rapids, WI 54495-4157 | 2012-01-26 |
| 1205097870 | Michael Jan Nelson Phd | Psychologist | 420 1st Ave S, Wisconsin Rapids, WI 54495 | 2008-06-17 |
| 1699855601 | Daniel John Horgan | Social Worker | 420 1st Ave S, Wisconsin Rapids, WI 54495-4157 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306495106 | Jane Kommer | Technician | 1641 Boles Street, Wisconsin, WI 54495 | 2019-09-05 |
| 1306020243 | Thomas W Tepper | Hearing Instrument Specialist | 220 S. 3rd Avenue, Suite 101, Wisconsin Rapids, WI 54495 | 2007-12-27 |
| 1669515276 | Rebecca Jane White | Dietitian, Registered | 1041 Hill Street, Wisconsin Rapids, WI 54495 | 2007-02-14 |
| 1801958871 | Gnp House Calls, LLC | Nurse Practitioner | 5535 County Hwy Q, Wisconsin Rapids, WI 54495 | 2006-12-15 |
| 1497843429 | Robert E Mcgrath | Dentist | 1730 7th Street So, Wisconsin Rapids, WI 54495 | 2006-10-11 |
| 1679003024 | Aaron Ernest Eichsteadt | Physical Therapist | 410 Dewey Street, Wisconsin Rapids, WI 54495 | 2017-06-19 |
| 1104360650 | Matthew Lawrence Benish | Dietitian, Registered | 555 W Grand Ave, B-2, Wisconsin Rapids, WI 54495 | 2016-12-16 |
| 1063423515 | Joel M Carlson | Internal Medicine | 420 Dewey Street, Wisconsin Rapids, WI 54495-0005 | 2006-08-10 |
| 1881605335 | Carlson Gi Clinic | Internal Medicine | 420 Dewey Street, Wisconsin Rapids, WI 54495-0005 | 2006-08-10 |
| 1790980266 | Wheels of Independence, Inc. | Non-emergency Medical Transport (VAN) | 2703 Industrial St, Wisconsin Rapids, WI 54495-2229 | 2007-06-15 |
| Find all providers in zip 54495 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952691255 | Gary Allen Kiedrowski | Counselor | 320 W Grand Ave., Central Wisconsin Counseling Suite 304a, Wisconsin Rapids, WI 54495-2781 | 2011-04-08 |
| 1578111498 | Edmundson Counseling | Counselor | 420 3rd St S, Wisconsin Rapids, WI 54494-4350 | 2019-09-04 |
| 1881069052 | Erin Johnson | Counselor | 320 W Grand Ave Ste 304a, Wisconsin Rapids, WI 54495-2781 | 2015-12-14 |
| 1174895809 | Constance K Virnig | Counselor | 420 1st Ave S, Po 1535, Wisconsin Rapids, WI 54495-4157 | 2012-01-26 |
| 1447556998 | Marjorie Ann Debevec-marksteiner | Counselor | 110 24th St S, Wisconsin Rapids, WI 54494-1906 | 2011-02-01 |
| 1942526249 | David Okeefe | Counselor | 320 W Grand Ave, Suite 304a, Wisconsin Rapids, WI 54495-2781 | 2010-04-12 |
| 1376635094 | Rebecca D Bean Behrend | Counselor | 464 Daly Ave, #1, Wisconsin Rapids, WI 54494-4746 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446430 | Caley Kiser | Counselor | 1245 Cheyenne Ave Ste 200, Grafton, WI 53024-9323 | 2020-10-28 |
| 1467051706 | Emily Worth | Counselor | 1426 Hiawatha Dr, Beaver Dam, WI 53916-1042 | 2020-10-19 |
| 1740888544 | Rene Beth Domask | Counselor | 760 Quarterdeck Ln # 2102b, Sturgeon Bay, WI 54235-3639 | 2020-10-14 |
| 1073110631 | Be Insightful Counseling LLC | Counselor | 2901 35th St Lowr Suiteb, Kenosha, WI 53140-5117 | 2020-10-07 |
| 1447867759 | Veronica Mary Fox | Counselor | N79w12855 Fond Du Lac Avenue, Menomonee Falls, WI 53051-4409 | 2020-09-30 |
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1265047625 | Jessica Marie Key | Counselor | 5805 W Wells St, Wauwatosa, WI 53213-3239 | 2020-09-12 |
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1477167658 | Aleksandra Miles Steinert | Counselor | 2025 E Greenwich Ave Unit 119, Milwaukee, WI 53211-4428 | 2020-09-03 |
| 1003420597 | Joshua A. Larson | Counselor | 316 N Milwaukee St Ste 325, Milwaukee, WI 53202-5895 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
| City | WISCONSIN RAPIDS |
| Zip Code | 54495 |
Please comment or provide details below to improve the information on THOMAS MICHAEL SURENDONK.
| 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.