MICHAEL EDWARD BOEHM (NPI# 1205000494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205000494 |
| Entity Type | Individual |
| Full Name | MICHAEL EDWARD BOEHM |
| Credential | LPC |
| Practice Address |
1707 Main St La Crosse WI 54601-4200 |
| Mailing Address |
66 E 3rd St 201 Winona MN 55987-3478 |
| Practice Telephone | 6087850001 |
| Practice Fax Number | 6087850002 |
| Mailing Telephone | 5074527292 |
| Mailing Fax Number | 5074579887 |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3451-125 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40947100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750588463 | Michael Edward Boehm | Psychologist | 189 33rd St, Brooklyn, NY 11232-2109 | 2007-06-27 |
| 1356651277 | Michael Edward Boehm | Dentist | 1280 E Polston Ave, Post Falls, ID 83854-6056 | 2010-10-13 |
| 1750300141 | Michael D Boehm | Internal Medicine | 300 W Hospital Rd, Meb Section, Fort Gordon, GA 30905-5741 | 2006-07-18 |
| 1912984360 | Michael Douglas Boehm | Ophthalmology | 2001 5th St, Suite 49 Eye Surgeons Associates PC, Silvis, IL 61282 | 2005-12-28 |
| Street Address |
1707 MAIN ST |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984755 | Walfsty Pierre | Social Worker | 1707 Main St, La Crosse, WI 54601-4200 | 2020-08-28 |
| 1962988725 | Teresita Yutuc | Social Worker | 1707 Main St, La Crosse, WI 54601-4200 | 2018-07-16 |
| 1538650031 | Jillian A Niemyjski | Counselor | 1707 Main St, La Crosse, WI 54601-4200 | 2018-05-21 |
| 1801262563 | Rachel M Slough | Counselor | 1707 Main St, La Crosse, WI 54601-4200 | 2015-08-18 |
| 1003221821 | Alicia S Skiles | Counselor | 1707 Main St, La Crosse, WI 54601-4200 | 2014-07-01 |
| 1851715684 | Family & Children's Center Youth Act | Community/Behavioral Health | 1707 Main St, La Crosse, WI 54601-4200 | 2014-02-14 |
| 1417370461 | Ellen M Holmquist | Counselor | 1707 Main St, La Crosse, WI 54601-4200 | 2014-01-28 |
| 1841576154 | Family & Children's Center | Respite Care | 1707 Main St, La Crosse, WI 54601-4200 | 2011-11-01 |
| 1487960167 | Family & Children's Center, Inc. | Respite Care | 1707 Main St, La Crosse, WI 54601-4200 | 2010-08-19 |
| 1669701462 | Christopher Thomas Kuhl | Counselor | 1707 Main St, La Crosse, WI 54601-4200 | 2009-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104357771 | Tania Lynne Sidiqi | Counselor | 115 5th Ave S Ste 301, La Crosse, WI 54601-4098 | 2017-03-24 |
| 1861845364 | Nancy Louise Miller | Counselor | 2920 East Avenue South, Suite 100, La Crosse, WI 54601 | 2016-07-20 |
| 1588066351 | Emily Jarrett | Counselor | 205 5th Ave S Ste 415, La Crosse, WI 54601-4059 | 2014-09-23 |
| 1548699275 | Lisa Hammes | Counselor | 115 5th Ave S Ste 507, La Crosse, WI 54601-4018 | 2013-11-04 |
| 1285981969 | Christine A Paarem Wilczewski | Counselor | 121 S. 11th Street, La Crosse, WI 54601-4116 | 2012-08-13 |
| 1992987481 | Tiffany Christine Johnson | Counselor | 600 3rd St N Ste 206, La Crosse, WI 54601-6299 | 2007-11-27 |
| 1952468936 | Allen Wagner | Counselor | 421 22nd St S, La Crosse, WI 54601-5046 | 2007-01-02 |
| 1902912744 | Michelle Sue Skau | Counselor | 300 4th Street North, La Crosse, WI 54602-4002 | 2006-08-22 |
| 1588270714 | Angela Shari Goethel | Counselor | 115 5th Ave S Ste 523, La Crosse, WI 54601-4018 | 2020-09-22 |
| 1922662451 | Leisha Nicole Lucas | Counselor | 319 Main St Ste 510, La Crosse, WI 54601-0710 | 2019-04-30 |
| Find all providers in LA CROSSE | ||||
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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.