ANN M GROB (NPI# 1265895387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265895387 |
Entity Type | Individual |
Full Name | ANN M GROB |
Credential | LPC, CSAC |
Practice Address |
1102 S Park St Ste 400 Madison WI 53715-1708 |
Mailing Address |
7974 Uw Health Ct Middleton WI 53562-5531 |
Practice Telephone | 6082828270 |
Enumeration Date | 2016-04-05 |
Last Update Date | 2019-12-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | 17341-130 | WI | Behavioral Health & Social Service Providers |
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16304-132 | WI | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16049-131 | WI | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
7091-125 | WI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | MERCYCARE INSURANCE | 703646 | 01 |
WI | 1265895387 | 05 | |
WI | BCBSWI | 1265895387 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497389175 | Ann Marie Grob | Pharmacist | 8690 Decatur St Apt 209, Westminster, CO 80031-6632 | 2020-03-02 |
Street Address |
1102 S PARK ST STE 400 |
City | MADISON |
State | WI |
Zip Code | 53715-1708 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
Find all providers in zip 53715 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396359337 | Sarah Luetzow Marten | Counselor | 6441 Enterprise Ln Ste 101, Madison, WI 53719-1180 | 2020-09-08 |
1366051088 | Katreasa L Cwright | Counselor | 224 South 5th St, Madison, AR 72359 | 2020-07-28 |
1811522253 | Sandra Bruno | Counselor | 102 Wesly Clark Blvd, Madison, AL 35756-4028 | 2020-03-05 |
1750915047 | Marina Macgillivray | Counselor | 2009 E Dayton St, Madison, WI 53704-4720 | 2020-02-26 |
1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
1851954713 | Michael Allen Hetts | Counselor | Madison East Ctc, 5109 World Dairy Dr, Madison, WI 53718-3807 | 2019-04-17 |
1205333671 | Michele Lee Nusker | Counselor | 1733 Stirling Rd, Madison, OH 44057-2030 | 2018-04-11 |
1609378546 | Impact Behavioral Counseling LLC | Counselor | 20 Hughes Rd Ste 101-b, Madison, AL 35758-2237 | 2018-03-07 |
1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
1669837498 | Gregory Cox | Counselor | 313 Price Pl Ste 101, Madison, WI 53705-3262 | 2015-12-21 |
Find all providers in MADISON |
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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.