SPENCER TASCH CLINIC, INC (NPI# 1285134858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285134858 |
| Entity Type | Organization |
| Organization Name | SPENCER TASCH CLINIC, INC |
| Practice Address |
800 Wisconsin St Ste 420 Eau Claire WI 54703-3588 |
| Practice Telephone | 7152109284 |
| Mailing Telephone | 7152109284 |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-04-02 |
| Authorized Official Name | BRITA SPENCER (OWNER) |
| Authorized Official Telephone | 7152109284 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 130012-121 | WI | Behavioral Health & Social Service Providers |
| Y | 101Y00000X | Counselor | 1231-125 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1467985507 | 05 | |
| WI | 1508305269 | 05 |
| Street Address |
800 WISCONSIN ST STE 420 |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54703-3588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535929 | Eclipse Counseling LLC | Clinic/Center | 1136 Barron St, Eau Claire, WI 54703 | 2020-07-17 |
| 1982261012 | Melissa Mae Jenneman | Social Worker | 306 Broadway Street, Eau Claire, WI 54703 | 2019-05-23 |
| 1396217014 | Jennifer Grace Joos | Case Manager/Care Coordinator | 2523 Diane Ln, Eau Claire, WI 54703 | 2018-12-19 |
| 1811437346 | Phillip Dolan | Specialist/Technologist | 2801 E Princeton Ave, Eau Claire, WI 54703 | 2017-03-02 |
| 1467830463 | Ryan Behnke | Specialist/Technologist | 725 Hudson St., Eau Claire, WI 54703 | 2015-05-11 |
| 1366737769 | Eric D. Carlson | Dentist | 1020 Menomonie Street, Eau Claire, WI 54703 | 2011-06-14 |
| 1669782587 | Jennifer Jean Andersen | Registered Nurse | 2027 West Ridge Dr., Eau Claire, WI 54703 | 2010-10-13 |
| 1407011257 | Scott R Lau | Hearing Instrument Specialist | 1802 Galloway Street, Eau Claire, WI 54703 | 2008-07-22 |
| 1134316615 | Robert G Grayson | Dentist | 2725 Morningside Dr, Eau Claire, WI 54703 | 2007-09-28 |
| 1689880858 | Okie Earl Allen | Hearing Instrument Specialist | 616 Lamplighter Ct, Eau Claire, WI 54703 | 2007-05-15 |
| Find all providers in zip 54703 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659446672 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Counselor | 306 S Barstow St, Eau Claire, WI 54701-3678 | 2006-11-22 |
| 1114494762 | Emily Cranston | Counselor | 2119 Heights Dr, Eau Claire, WI 54701-6130 | 2018-10-31 |
| 1285133462 | Amanda Koteras | Counselor | 120 S Barstow St, Eau Claire, WI 54701-3642 | 2018-02-02 |
| 1962918649 | Andrea Marie Hess | Counselor | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2017-12-18 |
| 1093159691 | Mary Kathryn Pierce | Counselor | 2925 Mondovi Rd, Eau Claire, WI 54701-6141 | 2013-04-25 |
| 1336381839 | Sacred Heart Hospital of The Hospital Sisters-3rd Order of St Francis | Counselor | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2009-03-30 |
| 1467649921 | Marriage & Family Health Services, Ltd | Counselor | 2925 Mondovi Rd, Eau Claire, WI 54701-6141 | 2007-09-28 |
| 1922213222 | Lisa R Cory | Counselor | 617 W Clairemont Ave, Eau Claire, WI 54701-6223 | 2007-05-11 |
| 1912110412 | Wade R Brost | Counselor | 221 W Madison St, Eau Claire, WI 54703-4400 | 2007-05-08 |
| 1891814414 | Megan Rae Peterson | Counselor | 221 W Madison St, Eau Claire, WI 54703-4400 | 2007-03-28 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 54703 |
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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.