JULIE RUPENA-REYNOLDS (NPI# 1164738183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164738183 |
| Entity Type | Individual |
| Full Name | JULIE RUPENA-REYNOLDS |
| Credential | MS, LPC |
| Practice Address |
5555 N Port Washington Rd 200 Glendale WI 53217-4929 |
| Practice Telephone | 2625423255 |
| Mailing Telephone | 2625423255 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2011-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4513-125 | WI | Behavioral Health & Social Service Providers |
| Street Address |
5555 N PORT WASHINGTON RD 200 |
| City | GLENDALE |
| State | WI |
| Zip Code | 53217-4929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306878368 | Jeffrey Lewis Polczinski | Psychologist | 5555 N Port Washington Rd, Suite 304, Glendale, WI 53217 | 2006-07-07 |
| 1831797224 | Jazmin Christine Binns | Counselor | 5555 N Port Washington Rd, Glendale, WI 53217-4929 | 2020-10-16 |
| 1700222338 | Judith Geralyn Tegge | Counselor | 5555 N Port Washington Rd, Suite 200, Glendale, WI 53217-4929 | 2013-05-22 |
| 1124291976 | Jeffrey L Polczinski Psyd LLC | Psychologist | 5555 N Port Washington Rd, Suite 304, Glendale, WI 53217 | 2008-04-11 |
| 1033207386 | Caroline G Schmidt | Psychologist | 5555 N Port Washington Rd, Suite 200, Glendale, WI 53217-4929 | 2006-10-11 |
| 1114020773 | Bruce Andrew Semon | Psychiatry & Neurology | 5555 N Port Washington Rd, #200, Glendale, WI 53217-4927 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467066027 | Michelle Kayla Williams | Counselor | 7121 W Bell Rd # 115, Glendale, AZ 85308-8555 | 2020-09-01 |
| 1083228613 | Rosalie Salazar | Counselor | 17505 N 79th Ave Ste 311, Glendale, AZ 85308-8730 | 2020-09-01 |
| 1225675820 | New Way Counseling and Consulting | Counselor | 17505 N 79th Ave Ste D-213, Glendale, AZ 85308-8725 | 2019-12-03 |
| 1457994014 | Jeremy Shoemaker | Counselor | 5546 W Desert Cove Ave, Glendale, AZ 85304-3841 | 2019-10-25 |
| 1033764410 | Marie Chuldzhyan | Counselor | 730 S Central Ave Ste 203, Glendale, CA 91204-4342 | 2019-08-02 |
| 1861050817 | Georgette Mcnally | Counselor | 6655 W Glendale Ave, Glendale, AZ 85301-2358 | 2019-06-04 |
| 1497312318 | Tawny Nicole White Runnels | Counselor | 6635 W Happy Valley Rd Ste A104-148, Glendale, AZ 85310-2609 | 2019-05-27 |
| 1336706944 | Kathryn Mcclearn | Counselor | 19201 N 45th Dr, Glendale, AZ 85308-5415 | 2019-05-20 |
| 1700341005 | Diana Steiner | Counselor | 18301 N 79th Ave Ste F168, Glendale, AZ 85308-6045 | 2019-01-31 |
| 1861986200 | Pamela Morgan | Counselor | 1220 Oak Circle Dr, Glendale, CA 91208-1106 | 2018-06-19 |
| Find all providers in GLENDALE | ||||
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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.