COLLABORATIVE JOURNEY COUNSELING, LLC (NPI# 1386187516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386187516 |
| Entity Type | Organization |
| Organization Name | COLLABORATIVE JOURNEY COUNSELING, LLC |
| Practice Address |
314 Ash St Baraboo WI 53913-2507 |
| Practice Telephone | 6084771484 |
| Practice Fax Number | 6083562136 |
| Mailing Telephone | 6084771484 |
| Mailing Fax Number | 6083562136 |
| Enumeration Date | 2016-11-20 |
| Last Update Date | 2016-11-20 |
| Authorized Official Name | MR. CHRIS SOMMERFIELD (OWNER) |
| Authorized Official Telephone | 6084771484 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1038-124 | WI | Behavioral Health & Social Service Providers |
| Street Address |
314 ASH ST |
| City | BARABOO |
| State | WI |
| Zip Code | 53913-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407786 | Nordic Private Care, LLC | Clinic/Center | 814 Lynn Avenue, Baraboo, WI 53913 | 2020-11-06 |
| 1467088336 | Malerie Catherine Kurt | Physical Therapist | 707 14th Street, Rehabilitation Department, Baraboo, WI 53913 | 2020-03-23 |
| 1639718174 | Gwendolynn Sue Doyle | Physical Therapy Assistant | 1414 Jefferson Street, Baraboo, WI 53913 | 2020-01-02 |
| 1922572320 | Karen L Elsby | Case Manager/Care Coordinator | Lutheran Social Services of Wi, 727 8th Street, Baraboo, WI 53913 | 2019-01-18 |
| 1952874281 | Cheryl Millard | Social Worker | Lutheran Social Services of Wisconsin, 727 8th Street Lower Level, Baraboo, WI 53913 | 2019-01-09 |
| 1427536598 | Daniel Robert Tokarczyk | Hearing Instrument Specialist | 622 State Hwy 136, Miracle Ear, Baraboo, WI 53913 | 2018-08-01 |
| 1508359928 | Erick Lichte Krueger | Counselor | 840 Us-12 #1, Baraboo, WI 53913 | 2018-06-11 |
| 1003351834 | Jason Welch | Hearing Instrument Specialist | 622 State Rd 136, Baraboo, WI 53913 | 2017-01-03 |
| 1376947820 | Affordable Medfical Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 1350 Jefferson St., Office, Attn, : Ada Vans, Baraboo, WI 53913 | 2014-10-13 |
| 1609179134 | Barbara Ostrowski | Registered Nurse | 52845 White Eagle Rd, Ho-chunk House of Wellness, Baraboo, WI 53913 | 2010-12-06 |
| Find all providers in zip 53913 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275666497 | Nan M Gardner | Marriage & Family Therapist | 1700 Tuttle St, Baraboo, WI 53913-3319 | 2007-03-14 |
| 1326171604 | Heather Renee Haas | Marriage & Family Therapist | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2007-03-14 |
| 1780634295 | Amy Bendorf Schertz | Marriage & Family Therapist | 1002 Lincoln Ave, Baraboo, WI 53913-1808 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105619 | Matthew Michael Richard Kobriger | Marriage & Family Therapist | 1477 S Knowles Ave Suite 120, New Richmond, WI 54017 | 2020-08-22 |
| 1700494473 | Kelsey Card | Marriage & Family Therapist | 702 N Blackhawk Ave Ste 215, Madison, WI 53705-3357 | 2020-07-20 |
| 1376161489 | Brenda R Lovick | Marriage & Family Therapist | 454 E Church Rd, Cambridge, WI 53523-9632 | 2020-07-06 |
| 1922624139 | Madeline Shay | Marriage & Family Therapist | 629 River St Ste C, Belleville, WI 53508-9189 | 2020-06-23 |
| 1437773736 | Andrew Clayton | Marriage & Family Therapist | 440 Science Dr Ste 300, Madison, WI 53711-1064 | 2020-06-02 |
| 1518580638 | Caitlin Stark | Marriage & Family Therapist | 518 Algoma St, Madison, WI 53704-4813 | 2020-05-22 |
| 1366065757 | Coltan James Schoenike | Marriage & Family Therapist | 500 12th Ave W Apt 30, Menomonie, WI 54751-2445 | 2020-05-20 |
| 1154957314 | William Jay Blevins | Marriage & Family Therapist | 2564 Branch St Ste B5, Middleton, WI 53562-2850 | 2020-03-19 |
| 1578196168 | Psychotherapy Center of Waunakee LLC | Marriage & Family Therapist | 110 Baker St Ste C, Waunakee, WI 53597-2707 | 2020-02-21 |
| 1194355230 | Michelle Nicole King | Marriage & Family Therapist | 757 Martin Ave, Hudson, WI 54016-7762 | 2020-01-16 |
| Find all providers with the same taxonomy | ||||
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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.