ANGELA DELLISE (NPI# 1164718151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164718151 |
| Entity Type | Individual |
| Full Name | ANGELA DELLISE |
| Credential | LPC, CSAC, CS-IT |
| Practice Address |
6233 Durand Ave Mount Pleasant WI 53406-4961 |
| Mailing Address |
3900 W Brown Deer Rd Suite 200 Brown Deer WI 53209-1220 |
| Practice Telephone | 2625548165 |
| Mailing Telephone | 4145402170 |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2014-08-26 |
| 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) |
16057-130 | WI | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
5385-125 | WI | Behavioral Health & Social Service Providers |
| Street Address |
6233 DURAND AVE |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53406-4961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710432596 | Lauren Lanphere | Speech-Language Pathologist | 6233 Durand Ave, Suite 102-3, Mount Pleasant, WI 53406-4961 | 2016-08-22 |
| 1598152092 | Jessica L Aiello | Counselor | 6233 Durand Ave, Mount Pleasant, WI 53406 | 2015-04-22 |
| 1285040121 | Renee Ann Reszel | Speech-Language Pathologist | 6233 Durand Ave, Suite 102-3, Mount Pleasant, WI 53406-4961 | 2014-07-10 |
| 1942615950 | Erin C Kupfer | Speech-Language Pathologist | 6233 Durand Ave, Ste 102-3, Mount Pleasant, WI 53406-4961 | 2014-06-27 |
| 1144664293 | The Playroom, Inc | Counselor | 6233 Durand Ave, Suite 102-3, Mount Pleasant, WI 53406-4961 | 2013-04-19 |
| 1891048211 | Xaris, Inc. | Speech-Language Pathologist | 6233 Durand Ave, Suite C, Mount Pleasant, WI 53406-4961 | 2012-10-23 |
| 1437422193 | Rhonda Williams | Registered Nurse | 6233 Durand Ave, Mount Pleasant, WI 53406-4961 | 2012-02-10 |
| 1396913943 | Jann M Widuch | Counselor | 6233 Durand Ave, Mount Pleasant, WI 53406-4961 | 2008-02-18 |
| 1013091263 | Kathryn Ann Kulba | Chiropractor | 6233 Durand Ave, Mount Pleasant, WI 53406-4961 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360507 | Susana Bryce Sharpley | Counselor | 3897 Maidstone Dr, Mount Pleasant, SC 29466-7558 | 2020-09-15 |
| 1114547148 | Sydney Rae Davis | Counselor | 307 E Michigan St, Mount Pleasant, MI 48858-2641 | 2020-04-20 |
| 1679110779 | Amy Peterson | Counselor | 6233 Durand Ave Ste F, Mount Pleasant, WI 53406-4961 | 2019-12-08 |
| 1114561255 | Thorington Counseling Services Pllc | Counselor | 122 N Lansing St, Mount Pleasant, MI 48858-1632 | 2019-11-01 |
| 1891271292 | Katarzyna Ciszewski | Counselor | 181 Bayfront Dr Unit 422, Mount Pleasant, SC 29464-1855 | 2018-07-18 |
| 1740797000 | Jessica Michelle Miller | Counselor | 1200 S Washington Street 139 Robinson, Mount Pleasant, MI 48859-0001 | 2018-01-08 |
| 1750817060 | Jennifer Giegler | Counselor | 113 W Broadway St Ste 115, Mount Pleasant, MI 48858-2556 | 2017-05-05 |
| 1699215798 | Steven Bard | Counselor | 3176 E Deerfield Rd, Apt 208, Mount Pleasant, MI 48858-4472 | 2017-03-08 |
| 1982142790 | Pamela Sue Myslivec | Counselor | 143 Cedar Dr, Mount Pleasant, MI 48858-9025 | 2017-02-01 |
| 1962947499 | Richard Tindall | Counselor | 887 Johnnie Dodds Blvd Ste 223, Mount Pleasant, SC 29464-3154 | 2016-12-19 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 53406 |
Please comment or provide details below to improve the information on ANGELA DELLISE.
| 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.