LANNY PARKER (NPI# 1407245335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407245335 |
| Entity Type | Individual |
| Full Name | LANNY PARKER |
| Credential | CSAC |
| Practice Address |
106 Galvin Road Abbotsford WI 54405 |
| Mailing Address |
106 Galvin Rd. Abbotsford WI 54405 |
| Practice Telephone | 7152230480 |
| Practice Fax Number | 7152231611 |
| Mailing Telephone | 7152230480 |
| Mailing Fax Number | 7152231611 |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1610-132 | WI | Behavioral Health & Social Service Providers |
| Street Address |
106 GALVIN ROAD |
| City | ABBOTSFORD |
| State | WI |
| Zip Code | 54405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508840992 | Raeann Wichlacz | Counselor | 106 Galvin Road, Abbotsford, WI 54405 | 2005-11-30 |
| 1124110598 | Judith Anne Davis | Counselor | 106 Galvin Road, Abbotsford, WI 54405 | 2006-09-29 |
| 1942253315 | Raeann Wichlacz | Counselor | 106 Galvin Road, Abbotsford, WI 54405 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984425 | Kathryn Jennifer Schmidt | Physical Therapy Assistant | Abbotsford Healthcare Center, 600 E Elm St, Abbotsford, WI 54405 | 2020-08-31 |
| 1073096103 | Trista Holly Raycher | Counselor | 106 Galvin Rd, Abbotsford, WI 54405 | 2018-09-14 |
| 1861938631 | Ted Obermann | Counselor | 106 Galvin Rd., Abbotsford, WI 54405 | 2017-01-17 |
| 1194079020 | Engel Chiropractic LLC | Chiropractor | 109 N 4th Street, Abbotsford, WI 54405 | 2012-10-30 |
| 1376641530 | Robin G Frank | Chiropractor | 601 East Spruce St., Box 488, Abbotsford, WI 54405 | 2006-09-20 |
| 1356398267 | Abbotsford Volunteer Fire | Ambulance | 203 E Birch, Abbotsford, WI 54405 | 2006-05-27 |
| 1548793235 | Jaclene Elizabeth Newell | Counselor | 106 Galvin Rd., P.o. 447, Abbotsford, WI 54405 | 2017-04-10 |
| 1942622162 | Luke Timothy Pernsteiner | Chiropractor | 109 N 4th St, Abbotsford, WI 54405 | 2014-01-07 |
| 1396975603 | Alpine Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1011 E Spruce St, Abbotsford, WI 54405 | 2009-07-21 |
| 1821094921 | Angela Marie Engel | Chiropractor | 109 N 4th St, Abbotsford, WI 54405-0526 | 2005-06-23 |
| Find all providers in zip 54405 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073096103 | Trista Holly Raycher | Counselor | 106 Galvin Rd, Abbotsford, WI 54405 | 2018-09-14 |
| 1861938631 | Ted Obermann | Counselor | 106 Galvin Rd., Abbotsford, WI 54405 | 2017-01-17 |
| 1508840992 | Raeann Wichlacz | Counselor | 106 Galvin Road, Abbotsford, WI 54405 | 2005-11-30 |
| 1124110598 | Judith Anne Davis | Counselor | 106 Galvin Road, Abbotsford, WI 54405 | 2006-09-29 |
| 1942253315 | Raeann Wichlacz | Counselor | 106 Galvin Road, Abbotsford, WI 54405 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396255 | Cassandra C Coates | Counselor | 134 Main St Apt 117, Racine, WI 53403-4623 | 2020-11-03 |
| 1649879982 | Veronicia S Green | Counselor | 2821 N Vel R Phillips Ave Ste 131, Milwaukee, WI 53212-2370 | 2020-10-19 |
| 1578160974 | Jennifer A Nyman | Counselor | 2408 N 89th St, Wauwatosa, WI 53226-1804 | 2020-10-08 |
| 1558977991 | Guided Solutions Therapy, LLC | Counselor | 126 W Holum St, Deforest, WI 53532-1108 | 2020-09-21 |
| 1396359337 | Sarah Luetzow Marten | Counselor | 6441 Enterprise Ln Ste 101, Madison, WI 53719-1180 | 2020-09-08 |
| 1891313656 | Kayla Lynn Fazzari | Counselor | N168w20964 Main St, Jackson, WI 53037-9634 | 2020-07-08 |
| 1518580182 | Michele Denise Perron | Counselor | 912 Baxter Ave, Superior, WI 54880-1735 | 2020-05-18 |
| 1003438391 | Kimberly Rose Schlomann | Counselor | W227s10580 River Ave, Big Bend, WI 53103-9563 | 2020-05-10 |
| 1477174381 | Sarah Ross | Counselor | 302 West Lake St., Friendship, WI 55934 | 2020-05-01 |
| 1124657721 | Joanne Berthelsen Lcsw LLC | Counselor | 830 Armour Rd Ste 2, Oconomowoc, WI 53066-3959 | 2020-04-06 |
| Find all providers with the same taxonomy | ||||
| City | ABBOTSFORD |
| Zip Code | 54405 |
Please comment or provide details below to improve the information on LANNY PARKER.
| 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.