MAINSTREET COUNSELING


Address: 1717 11th St, Monroe, WI 53566-1839
Phone: 6082146225

MAINSTREET COUNSELING (NPI# 1386283034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1717 11TH ST
City MONROE
State WI
Zip Code 53566-1839

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1124356910 Southern Center for Children and Families, Inc. Clinic/Center 622 Riverside Dr, Monroe, LA 71201-6211 2009-12-07
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1689864209 Sitara Medical Inc Ps Clinic/Center 14841 179th Ave Se Ste 210, Monroe, WA 98272-1127 2007-07-30
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1306062856 Chemical Dependency Services, Inc Clinic/Center 308 W. Windsor Street, Monroe, NC 28112-4779 2007-04-17
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Competitor

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City MONROE
Zip Code 53566

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Dataset Information

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.

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