MS. GWENDOLYN ESME HAAGENSEN (NPI# 1366937492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366937492 |
Entity Type | Individual |
Full Name | MS. GWENDOLYN ESME HAAGENSEN |
Practice Address |
613b Milwaukee St Delafield WI 53018-1517 |
Mailing Address |
328 Craig St Fort Atkinson WI 53538-2320 |
Practice Telephone | 6086204028 |
Enumeration Date | 2018-07-01 |
Last Update Date | 2018-07-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
3933-226 | WI | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
200 S Executive Dr, Brookfield, WI 530054216 | 6086204028 |
Street Address |
613B MILWAUKEE ST |
City | DELAFIELD |
State | WI |
Zip Code | 53018-1517 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942784459 | Heidi Lindsey | Counselor | 613b Milwaukee St, Delafield, WI 53018-1517 | 2018-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063936870 | Balance Within, LLC | Clinic/Center | W314 N720 State Hwy 83, Delafield, WI 53018 | 2017-08-02 |
1548717861 | Anne Johnson, LLC | Community/Behavioral Health | W314 N720 Hwy 83, Delafield, WI 53018 | 2016-09-02 |
1912374190 | Gals Institute, LLC | Clinic/Center | 383 Williamstowne, Suite 101, Delafield, WI 53018 | 2015-08-24 |
1922442722 | Brittany Joelle Meyer | Family Medicine | 2301 Sun Valley Dr Ste 300, Delafield, WI 53018 | 2013-04-23 |
1417072497 | Sarah R R Couillard | Licensed Practical Nurse | 901 West Shore Dr, Delafield, WI 53018 | 2007-03-20 |
1942332440 | Yolanda Stephenson Wolff | Pediatrics | 3195 Hillside Dr, Delafield, WI 53018 | 2007-03-10 |
1568532521 | Maida Ann Parkins | Plastic Surgery | W307 N1497 Golf Rd, Suite 200, Delafield, WI 53018 | 2006-11-08 |
1871679126 | David Wolf | Chiropractor | 20 Crossroads Ct., Ste. B, Delafield, WI 53018 | 2006-10-30 |
1548237985 | Medical Scanning Consultants Pa | Radiology | 2574 Sun Valley Dr, Ste 100, Delafield, WI 53018 | 2006-03-03 |
1902873334 | Cdi Delafield LLC | Radiology | 2574 Sun Valley Drive, Suite 100, Delafield, WI 53018 | 2006-03-03 |
Find all providers in zip 53018 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740805142 | Nicole Elizabeth Lotz | Counselor | 400 Genesee St Ste C, Delafield, WI 53018-1867 | 2020-06-11 |
1942784459 | Heidi Lindsey | Counselor | 613b Milwaukee St, Delafield, WI 53018-1517 | 2018-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306446430 | Caley Kiser | Counselor | 1245 Cheyenne Ave Ste 200, Grafton, WI 53024-9323 | 2020-10-28 |
1467051706 | Emily Worth | Counselor | 1426 Hiawatha Dr, Beaver Dam, WI 53916-1042 | 2020-10-19 |
1740888544 | Rene Beth Domask | Counselor | 760 Quarterdeck Ln # 2102b, Sturgeon Bay, WI 54235-3639 | 2020-10-14 |
1073110631 | Be Insightful Counseling LLC | Counselor | 2901 35th St Lowr Suiteb, Kenosha, WI 53140-5117 | 2020-10-07 |
1447867759 | Veronica Mary Fox | Counselor | N79w12855 Fond Du Lac Avenue, Menomonee Falls, WI 53051-4409 | 2020-09-30 |
1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
1265047625 | Jessica Marie Key | Counselor | 5805 W Wells St, Wauwatosa, WI 53213-3239 | 2020-09-12 |
1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
1477167658 | Aleksandra Miles Steinert | Counselor | 2025 E Greenwich Ave Unit 119, Milwaukee, WI 53211-4428 | 2020-09-03 |
1003420597 | Joshua A. Larson | Counselor | 316 N Milwaukee St Ste 325, Milwaukee, WI 53202-5895 | 2020-09-02 |
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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.