KATHLEEN COOK (NPI# 1407951767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407951767 |
Entity Type | Individual |
Full Name | KATHLEEN COOK |
Practice Address |
2639 New Pinery Rd Ste 1 Portage WI 53901-1110 |
Practice Telephone | 6087425020 |
Practice Fax Number | 6087423641 |
Mailing Telephone | 6087425020 |
Mailing Fax Number | 6087423641 |
Enumeration Date | 2006-09-13 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 656-124 | WI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 40919600 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508408055 | Kathleen Marie Cook | Registered Nurse | 157 Birr St, Rochester, NY 14613-1737 | 2019-10-16 |
1407329402 | Kathleen Cook | Behavioral Analyst | 5448 Manning Cir, North Ridgeville, OH 44039-1339 | 2019-01-02 |
1386010767 | Kathleen Josef Cook | Physical Therapist | 700 E. Cleveland Ave., Monett, MO 65708 | 2015-08-19 |
1427114339 | Kathleen Anne Cook | Counselor | 1817 Miami St, South Bend, IN 46613-2821 | 2006-12-28 |
1407852445 | Kathleen M Cook | Nurse Practitioner | 81 Chatham St, Worcester, MA 01609-2027 | 2005-06-23 |
1538641121 | Kathleen Hartway Cook | Physical Therapist | 30795 23 Mile Rd, Chesterfield, MI 48047-5720 | 2018-08-30 |
1376928564 | Kathleen Cook | Pharmacist | 5200 York Rd, Baltimore, MD 21212-4215 | 2015-07-29 |
1477848323 | Kathleen A Cook | Registered Nurse | 5000 S 5th Ave, Hines, IL 60141-3030 | 2011-06-17 |
1568593747 | Kathleen Cook | Psychologist | 111 N La Brea Ave, Suite 700, Inglewood, CA 90301-1752 | 2007-03-08 |
1699703181 | Kathleen Cook | Nurse Anesthetist, Certified Registered | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2006-06-30 |
Street Address |
2639 NEW PINERY RD STE 1 |
City | PORTAGE |
State | WI |
Zip Code | 53901-1110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306897467 | Anna R Fullmer | Social Worker | 2639 New Pinery Rd Ste 1, Portage, WI 53901-1110 | 2006-05-13 |
1154967818 | Corinne S Truxal | Counselor | 2639 New Pinery Rd Ste 1, Portage, WI 53901-1110 | 2019-11-18 |
1396303350 | Jessica Reo | Social Worker | 2639 New Pinery Rd Ste 1, Portage, WI 53901-1110 | 2019-06-04 |
1962507160 | Joseph Huber | Social Worker | 2639 New Pinery Rd Ste 1, Portage, WI 53901-1110 | 2006-09-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740710748 | Robert James Corliss | Internal Medicine | St. Vincent Fmc, 140east Cook St., Portage, WI 53901 | 2017-06-13 |
1639328867 | Casey Jo Ambort | Speech-Language Pathologist | 626 East Slifer St, Portage, WI 53901 | 2008-09-11 |
1871767400 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 132 W. Cook St., Portage, WI 53901 | 2008-04-15 |
1881872158 | Marta Jean Jindra | Physical Therapist | 626 E Slifer Street, Portage, WI 53901 | 2008-02-08 |
1699953976 | Lana Marie Edwards | Speech-Language Pathologist | 626 East Slifer Street, Portage, WI 53901 | 2008-02-08 |
1134314552 | Kristina Hellenbrand | Physical Therapist | 2639 New Pinery Road, Suite 2, Portage, WI 53901 | 2007-09-10 |
1689727810 | Gregory Allan Bindl | Chiropractor | 2121new Pinery Rd, Portage, WI 53901 | 2007-01-19 |
1720149156 | Timothy J Rosin Dds Sc | Dentist | 2570 New Pinery Rd, Portage, WI 53901 | 2006-12-12 |
1710083779 | Currani Seubert Dental Office LLC | Dentist | 260 W Cook St, Portage, WI 53901 | 2006-09-16 |
1225090525 | University of Wisconsin Medical Foundation Inc | Durable Medical Equipment & Medical Supplies | 2977 Cty Hwy Cx, Portage, WI 53901 | 2006-04-04 |
Find all providers in zip 53901 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255899761 | Samantha Alyse Sanders | Marriage & Family Therapist | 1651 W Centre Ave Ste 203, Portage, MI 49024-6313 | 2019-03-05 |
1609123132 | Jonna Beth Phillips | Marriage & Family Therapist | 8120 Moorsbridge Rd Ste 203, Portage, MI 49024-7414 | 2012-08-15 |
1306052295 | Rebecca Anna Kaiser | Marriage & Family Therapist | 317 De Witt St, Portage, WI 53901-2155 | 2007-05-15 |
1942868419 | Brave Counseling and Coaching, Pllc | Marriage & Family Therapist | 8120 Moorsbridge Rd Ste 203, Portage, MI 49024-7414 | 2019-05-30 |
1700338811 | Michele Grantham | Marriage & Family Therapist | 1617 E Milham Ave, Portage, MI 49002-3049 | 2016-10-25 |
1770921017 | Erin Shawnna Grimm | Marriage & Family Therapist | 317 Dewitt St, Portage, WI 53901-2155 | 2013-06-10 |
1093955650 | Karen B. Helmeke | Marriage & Family Therapist | 724 W Centre Ave, Center for Counseling and Wellness Ste 207, Portage, MI 49024-6310 | 2009-02-23 |
1972625796 | Gary H. Bischof | Marriage & Family Therapist | 724 W Centre Ave, Suite 207, Portage, MI 49024-6310 | 2007-04-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871105619 | Matthew Michael Richard Kobriger | Marriage & Family Therapist | 1477 S Knowles Ave Suite 120, New Richmond, WI 54017 | 2020-08-22 |
1700494473 | Kelsey Card | Marriage & Family Therapist | 702 N Blackhawk Ave Ste 215, Madison, WI 53705-3357 | 2020-07-20 |
1376161489 | Brenda R Lovick | Marriage & Family Therapist | 454 E Church Rd, Cambridge, WI 53523-9632 | 2020-07-06 |
1922624139 | Madeline Shay | Marriage & Family Therapist | 629 River St Ste C, Belleville, WI 53508-9189 | 2020-06-23 |
1437773736 | Andrew Clayton | Marriage & Family Therapist | 440 Science Dr Ste 300, Madison, WI 53711-1064 | 2020-06-02 |
1518580638 | Caitlin Stark | Marriage & Family Therapist | 518 Algoma St, Madison, WI 53704-4813 | 2020-05-22 |
1366065757 | Coltan James Schoenike | Marriage & Family Therapist | 500 12th Ave W Apt 30, Menomonie, WI 54751-2445 | 2020-05-20 |
1154957314 | William Jay Blevins | Marriage & Family Therapist | 2564 Branch St Ste B5, Middleton, WI 53562-2850 | 2020-03-19 |
1578196168 | Psychotherapy Center of Waunakee LLC | Marriage & Family Therapist | 110 Baker St Ste C, Waunakee, WI 53597-2707 | 2020-02-21 |
1194355230 | Michelle Nicole King | Marriage & Family Therapist | 757 Martin Ave, Hudson, WI 54016-7762 | 2020-01-16 |
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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.