RECONNECTIONS (NPI# 1386784742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386784742 |
| Entity Type | Organization |
| Organization Name | RECONNECTIONS |
| Practice Address |
921 W Glendale Ave Glendale WI 53209-6513 |
| Practice Telephone | 4142219293 |
| Practice Fax Number | 4142219532 |
| Mailing Telephone | 4142219293 |
| Mailing Fax Number | 4142219532 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | MR. B. HAL DESSEL (OWNER, CLINIC DIRECTOR) |
| Authorized Official Telephone | 4142219293 |
| Authorized Official Credential | LCSW, CADC III |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
1775 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42211500 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | RECONNECTIONS ALCOHOL/DRUG TREATMENT, INC. | 547 Sw 7th St Apt 1, Newport, OR 97365 |
| Colorado Business Entities | Reconnections, Inc. | 830 W. Quincy Ave, Englewood, CO 80110 |
| Street Address |
921 W GLENDALE AVE |
| City | GLENDALE |
| State | WI |
| Zip Code | 53209-6513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033259676 | B. Hal Dessel | Counselor | 921 W Glendale Ave, Glendale, WI 53209-6513 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Find all providers in zip 53209 | ||||
| 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 |
|---|---|---|---|---|
| 1083232904 | Free To Be Counseling | Clinic/Center | 4750 E Cherry Creek South Dr Apt G206, Glendale, CO 80246-1837 | 2020-07-07 |
| 1649896754 | Clear Path Behavioral Health Services LLC | Clinic/Center | 8768 W Gardenia Ave, Glendale, AZ 85305-6965 | 2020-06-24 |
| 1013542778 | Enhance Counseling & Wellness LLC | Clinic/Center | 17431 N 71st Dr Ste 101, Glendale, AZ 85308-8598 | 2020-03-03 |
| 1710453394 | Terros Inc | Clinic/Center | 6151-6153 W. Olive Ave, Glendale, AZ 85302-4564 | 2018-10-22 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1174728646 | Terros Inc | Clinic/Center | 6151-6153 W Olive Ave, Glendale, AZ 85302-4598 | 2007-06-15 |
| 1730793449 | Glendale Counseling Services | Clinic/Center | 100 N Brand Blvd Ste 412, Glendale, CA 91203-2614 | 2020-09-01 |
| 1457918526 | Growth Space, Pllc | Clinic/Center | 19201 N 45th Dr, Glendale, AZ 85308-5415 | 2019-05-23 |
| 1649748450 | Extraordinary You/dr. Agnes Oh | Clinic/Center | 1010 N Central Ave # 315, Glendale, CA 91202-2937 | 2018-11-09 |
| 1669953287 | Michael Forbes Warden Phd Pllc | Clinic/Center | 7155 W Campo Bello Dr Ste C120, Glendale, AZ 85308-8594 | 2018-08-22 |
| Find all providers in GLENDALE | ||||
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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.