JAIME GUNDERSON (NPI# 1164955878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164955878 |
| Entity Type | Individual |
| Full Name | JAIME GUNDERSON |
| Credential | BA, SAC |
| Practice Address |
404 N Main St Suite 502 Oshkosh WI 54901-4957 |
| Mailing Address |
404 North Main Street Suite 502 Oshkosh WI 54901 |
| Practice Telephone | 9204791087 |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16132131 | WI | Behavioral Health & Social Service Providers |
| Street Address |
404 N MAIN ST SUITE 502 |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54901-4957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952731465 | Your Place Counseling Services | Counselor | 404 N Main St, Suite 507, Oshkosh, WI 54901-4957 | 2013-11-19 |
| 1437465283 | Angela Eva Schmidt | Counselor | 404 N Main St, Suite 507, Oshkosh, WI 54901-4957 | 2010-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023657855 | Kayla Crockett | Specialist/Technologist | Kolf Sports Center, Oshkosh, WI 54901 | 2019-12-26 |
| 1629593421 | Taymoor Sardar | Psychologist | 404 N. Main St., Suite 501, Oshkosh, WI 54901 | 2017-08-14 |
| 1821414889 | Chris Lynn Wiggs | Registered Nurse | 2150 Ontario St., Oshkosh, WI 54901 | 2014-03-13 |
| 1114359023 | Robert James Rigoni Jr. | Pharmacist | 1300 S. Koeller Rd, Oshkosh, WI 54901 | 2013-08-01 |
| 1427313386 | Scott Forrest Trippe | Psychologist | 627 Bayshore Drive, Oshkosh, WI 54901 | 2012-07-06 |
| 1003113135 | Ashley Lauren Procknow | Registered Nurse | 105 Bowen St, Oshkosh, WI 54901 | 2011-02-25 |
| 1982915963 | Benjamin Ross Goldstein | Psychiatry & Neurology | 4100 Treffert Dr., Oshkosh, WI 54901 | 2010-06-24 |
| 1982926234 | Patricia A Pendowski | Counselor | 3240 Jackson Street, Oshkosh, WI 54901 | 2010-02-26 |
| 1083867477 | Lori Marie Pierquet | Psychologist | 375 C Executive Suites, City Center, Oshkosh, WI 54901 | 2008-10-29 |
| 1346493228 | William Alexander Hammond | Dentist | 5252 I-ah-maytah Rd., Oshkosh, WI 54901 | 2008-10-23 |
| Find all providers in zip 54901 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073072906 | Thomas Mittelsteadt | Counselor | 500 S Oakwood Rd Ste 102, Oshkosh, WI 54904-7944 | 2019-03-19 |
| 1790063337 | Isaac Kallies Pabst | Counselor | 2839 Wyldewood Rd, Oshkosh, WI 54904-9225 | 2011-08-01 |
| 1407145899 | Kent Douglas Barnes | Counselor | 505 S Washburn St, Oshkosh, WI 54904-7949 | 2011-04-06 |
| 1811299126 | Sandra K Johnston | Counselor | 120 Wyldewood Dr, #b202, Oshkosh, WI 54904-8631 | 2010-11-19 |
| 1982926234 | Patricia A Pendowski | Counselor | 3240 Jackson Street, Oshkosh, WI 54901 | 2010-02-26 |
| 1295064558 | James Mashaun Williams | Counselor | 404 N Main St Ste 501, Oshkosh, WI 54901-4952 | 2009-12-16 |
| 1891922183 | Cheryl J Root | Counselor | 502 E New York Ave, Oshkosh, WI 54901-3938 | 2009-06-15 |
| 1427228436 | Sandra Marie Shaffer | Counselor | 3475 Omro Rd Ste 400, Oshkosh, WI 54904-7126 | 2008-03-05 |
| 1376743658 | Steven Gene Ehlke | Counselor | 683 N Main St, Suite E, Oshkosh, WI 54901-4472 | 2007-07-24 |
| 1174662464 | Oshkosh Counseling Center Inc | Counselor | 501 Merritt Ave, Oshkosh, WI 54901-5139 | 2007-02-05 |
| Find all providers in OSHKOSH | ||||
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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.