AMBERLY JEAN MIXON (NPI# 1407401771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407401771 |
| Entity Type | Individual |
| Full Name | AMBERLY JEAN MIXON |
| Credential | APSW |
| Practice Address |
540 E Grand Ave Beloit WI 53511-6314 |
| Mailing Address |
3766 Redstone Dr Janesville WI 53548-5839 |
| Practice Telephone | 6083688087 |
| Mailing Telephone | 6083468843 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 130393 | WI | Behavioral Health & Social Service Providers |
| Street Address |
540 E GRAND AVE |
| City | BELOIT |
| State | WI |
| Zip Code | 53511-6314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033376090 | Douglas Edward Kelley | Optometrist | 540 E Grand Ave, Beloit, WI 53511-6314 | 2008-05-19 |
| 1740896885 | Taylor Leibfried | Social Worker | 540 E Grand Ave, Beloit, WI 53511-6314 | 2020-09-22 |
| 1396376851 | Nicolette Ann Miller | Social Worker | 540 E Grand Ave, Beloit, WI 53511-6314 | 2020-02-03 |
| 1407345903 | Brielle Evelyn Powers | Social Worker | 540 E Grand Ave, Beloit, WI 53511-6314 | 2018-05-09 |
| 1740704287 | Melony Dawn Walsh | Counselor | 540 E Grand Ave, Beloit, WI 53511-6314 | 2017-07-26 |
| 1821510595 | Jenniffer Beu | Counselor | 540 E Grand Ave, Beloit, WI 53511-6314 | 2017-07-13 |
| 1568853091 | David Fischer | Social Worker | 540 E Grand Ave, Beloit, WI 53511-6314 | 2015-02-05 |
| 1538560255 | Stateline Mental Health Services | Clinic/Center | 540 E Grand Ave, Beloit, WI 53511-6314 | 2014-09-12 |
| 1982986261 | Stephanie Sisson | Counselor | 540 E Grand Ave, Beloit, WI 53511-6314 | 2011-09-13 |
| 1780976647 | Beloit Family Eye Care S.c. | Optometrist | 540 E Grand Ave, Beloit, WI 53511-6314 | 2011-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
| 1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
| 1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
| 1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
| 1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
| 1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
| Find all providers in zip 53511 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815594 | Lindsey Anderson | Social Worker | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2020-06-09 |
| 1396376851 | Nicolette Ann Miller | Social Worker | 540 E Grand Ave, Beloit, WI 53511-6314 | 2020-02-03 |
| 1770047839 | Heather Heritage | Social Worker | 1517 E Huebbe Pkwy Ste A, Beloit, WI 53511-1795 | 2019-01-23 |
| 1962988444 | Dawn E Hudson | Social Worker | 1969 W Hart Rd, Beloit, WI 53511-2298 | 2018-07-17 |
| 1407345903 | Brielle Evelyn Powers | Social Worker | 540 E Grand Ave, Beloit, WI 53511-6314 | 2018-05-09 |
| 1740737998 | Hope for Healing, LLC | Social Worker | 710 E South St, Beloit, KS 67420-3324 | 2016-09-06 |
| 1407220668 | Briana Lynn Glynn | Social Worker | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2015-11-25 |
| 1710355730 | Skilar Winder | Social Worker | 710 E South St, Beloit, KS 67420-3324 | 2015-09-08 |
| 1851727242 | Amy Renee Johnson | Social Worker | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2013-09-18 |
| 1518149483 | Michelle L Muth | Social Worker | 64 Eclipse Ctr, Beloit, WI 53511-3550 | 2007-12-03 |
| Find all providers in BELOIT | ||||
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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.