MAINSTREET COUNSELING (NPI# 1386283034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386283034 |
Entity Type | Organization |
Organization Name | MAINSTREET COUNSELING |
Practice Address |
1717 11th St Monroe WI 53566-1839 |
Mailing Address |
714 21st Ave Monroe WI 53566-1667 |
Practice Telephone | 6082146225 |
Mailing Telephone | 6082146225 |
Enumeration Date | 2019-12-29 |
Last Update Date | 2019-12-29 |
Authorized Official Name | SUZANNE KAY KOCH (PART OWNER) |
Authorized Official Telephone | 6082146225 |
Authorized Official Credential | LCSW |
Is Organization Subpart | Y |
Parent Organization Name | MAINSTREET COUNSELING |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Street Address |
1717 11TH ST |
City | MONROE |
State | WI |
Zip Code | 53566-1839 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548752967 | Mariah Mohns | Occupational Therapy Assistant | N3150 Wi- 81, Monroe, WI 53566 | 2018-06-01 |
1811414907 | Yelena Gapchenko | Pharmacist | 515 22nd St., Monroe, WY 53566 | 2017-08-29 |
1508306283 | Hilary Domke | Occupational Therapist | N3150 Wi-81, Monroe, WI 53566 | 2017-03-01 |
1699132332 | Lisa Marty | Social Worker | N3152 Wi-81, Monroe, WI 53566 | 2016-01-26 |
1518223148 | Lauren Nibler Craddock | Dermatology | 412 18th Ave, Monroe, WI 53566 | 2012-04-09 |
1033482799 | Amber Gatdula | Physical Therapy Assistant | 2628 14th Street, Monroe, WI 53566 | 2012-02-10 |
1629361043 | Tammy Noble | Licensed Practical Nurse | N2546 Ullom Rd., Monroe, WI 53566 | 2011-05-18 |
1023331683 | Kristine Hudson | Registered Nurse | 1110 11th Street, Monroe, WI 53566 | 2010-03-10 |
1306005012 | Rosemary Ann Graham | Registered Nurse | 2413 5th Ave, Monroe, WI 53566 | 2008-06-06 |
1174702559 | Kelly Jo Jenson | Chiropractor | 1518 11th Street, Suite 1-2, Monroe, WI 53566 | 2007-11-01 |
Find all providers in zip 53566 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093357113 | Wellness Initiatives LLC | Clinic/Center | 2485 Tower Dr Ste 10, Monroe, LA 71201-5769 | 2019-10-09 |
1942670336 | Milestone Recovery LLC | Clinic/Center | 2001 Walnut Ln, Monroe, NC 28112-7333 | 2015-09-29 |
1295176964 | Firm Foundations Family Counseling, LLC | Clinic/Center | 2101 Forsythe Ave, Monroe, LA 71201-3642 | 2013-07-10 |
1679877534 | Adamu Salisu, Md Pllc | Clinic/Center | 200 E Jefferson St, Monroe, NC 28112-4863 | 2011-01-06 |
1124356910 | Southern Center for Children and Families, Inc. | Clinic/Center | 622 Riverside Dr, Monroe, LA 71201-6211 | 2009-12-07 |
1790975068 | The Health and Wellness Center | Clinic/Center | 1106 Stubbs Ave, Stuite B, Monroe, LA 71201-5620 | 2007-08-01 |
1689864209 | Sitara Medical Inc Ps | Clinic/Center | 14841 179th Ave Se Ste 210, Monroe, WA 98272-1127 | 2007-07-30 |
1669689634 | Riversouth Rehabilitation Center,inc. | Clinic/Center | 1010 N 9th St, Monroe, LA 71201-5513 | 2007-05-17 |
1306062856 | Chemical Dependency Services, Inc | Clinic/Center | 308 W. Windsor Street, Monroe, NC 28112-4779 | 2007-04-17 |
1467526798 | Advantage Bhs | Clinic/Center | 834 Hwy 11 South, Monroe, GA 30655 | 2006-11-20 |
Find all providers in MONROE |
Please comment or provide details below to improve the information on MAINSTREET COUNSELING.
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.