SARA B SHAVER (NPI# 1174567317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174567317 |
| Entity Type | Individual |
| Full Name | SARA B SHAVER |
| Other Name | SARA B HUBER |
| Credential | LMFT |
| Practice Address |
2639 New Pinery Rd Suite 1 Portage WI 53901-1110 |
| Mailing Address |
650 Brittingham Ct Portage WI 53901-1450 |
| Practice Telephone | 6087425020 |
| Practice Fax Number | 6087423641 |
| Mailing Telephone | 6087428015 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
569-124 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEAN INSURANCE | 13872 | 01 |
| WI | 39778200 | 05 |
| Street Address |
2639 NEW PINERY RD SUITE 1 |
| City | PORTAGE |
| State | WI |
| Zip Code | 53901-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932180775 | Matthew J Vanderkooi | Physical Therapist | 2639 New Pinery Rd, Suite 2, Portage, WI 53901-1110 | 2005-11-09 |
| 1518315290 | Jordan Hove | Physical Therapist | 2639 New Pinery Rd, Portage, WI 53901-1110 | 2016-06-02 |
| 1639470156 | Rachel L Harry | Counselor | 2639 New Pinery Rd, Suite 1, Portage, WI 53901-1110 | 2010-11-15 |
| 1376863324 | Mary Rose Strickland | Physical Therapist | 2639 New Pinery Rd, Suite 2, Portage, WI 53901-1110 | 2010-06-01 |
| 1104144518 | Edward Rothbauer | Physical Therapist | 2639 New Pinery Rd, Suite 2, Portage, WI 53901-1110 | 2010-05-10 |
| 1881889509 | Jacquelyn Marie Walker | Physical Therapist | 2639 New Pinery Rd, Suite 2, Portage, WI 53901-1110 | 2007-09-06 |
| 1649208505 | Philip W Robinson | Social Worker | 2639 New Pinery Rd, Suite 1, Portage, WI 53901-1110 | 2006-06-29 |
| 1144264375 | Sarah J Kravick | Counselor | 2639 New Pinery Rd, Suite 1, Portage, WI 53901-1110 | 2006-06-16 |
| 1861436065 | Barry D. Erath | Counselor | 2639 New Pinery Rd, Suite 1, Portage, WI 53901-1110 | 2006-06-16 |
| 1922042126 | Lori N Greer | Psychologist | 2639 New Pinery Rd, Suite 1, Portage, WI 53901-1110 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740710748 | Robert James Corliss | Internal Medicine | St. Vincent Fmc, 140east Cook St., Portage, WI 53901 | 2017-06-13 |
| 1639328867 | Casey Jo Ambort | Speech-Language Pathologist | 626 East Slifer St, Portage, WI 53901 | 2008-09-11 |
| 1871767400 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 132 W. Cook St., Portage, WI 53901 | 2008-04-15 |
| 1881872158 | Marta Jean Jindra | Physical Therapist | 626 E Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1699953976 | Lana Marie Edwards | Speech-Language Pathologist | 626 East Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1134314552 | Kristina Hellenbrand | Physical Therapist | 2639 New Pinery Road, Suite 2, Portage, WI 53901 | 2007-09-10 |
| 1689727810 | Gregory Allan Bindl | Chiropractor | 2121new Pinery Rd, Portage, WI 53901 | 2007-01-19 |
| 1720149156 | Timothy J Rosin Dds Sc | Dentist | 2570 New Pinery Rd, Portage, WI 53901 | 2006-12-12 |
| 1710083779 | Currani Seubert Dental Office LLC | Dentist | 260 W Cook St, Portage, WI 53901 | 2006-09-16 |
| 1225090525 | University of Wisconsin Medical Foundation Inc | Durable Medical Equipment & Medical Supplies | 2977 Cty Hwy Cx, Portage, WI 53901 | 2006-04-04 |
| Find all providers in zip 53901 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801387691 | Chad Robert Westmaas | Counselor | 6100 Newport Rd Ste 2222, Portage, MI 49002-9235 | 2018-05-29 |
| 1154871390 | Dawn Anderson-mueller | Counselor | 322 Dewit St, Portage, WI 53901-2114 | 2016-10-12 |
| 1255768859 | Rebecca Wilson | Counselor | 7649 Woodcrest St, Portage, MI 49024-5059 | 2013-09-27 |
| 1245534478 | Tonya Lynn Swinger | Counselor | 742 Popish Road, Portage, PA 15946-7900 | 2011-01-03 |
| 1992022503 | Paul Maxwell Brinkley | Counselor | 1398 Palmetto Dr., Portage, MI 49002 | 2010-04-23 |
| 1023343738 | Pamela Regina Robinson | Counselor | 1151 W Milham Ave, Portage, MI 49024-1203 | 2009-10-14 |
| 1538298401 | Catholic Charities, Diocese of Gary Inc | Counselor | 2642 Eleanor St, Portage, IN 46368-3634 | 2007-03-05 |
| 1942396205 | Lindsay Page South | Counselor | 1591 W Centre St, Suite 103, Portage, MI 49024 | 2006-10-05 |
| 1306452248 | Misty Hatch | Counselor | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2020-09-16 |
| 1891307880 | Sydney M Martin | Counselor | 6130 Lovers Ln, Portage, MI 49002-3026 | 2020-08-20 |
| Find all providers in PORTAGE | ||||
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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.