KRISTIN JOY EITLAND (NPI# 1417433855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417433855 |
| Entity Type | Individual |
| Full Name | KRISTIN JOY EITLAND |
| Practice Address |
2201 Jack Breault Dr Hudson WI 54016-4547 |
| Mailing Address |
646 County Road Nn Wilson WI 54027-3810 |
| Practice Telephone | 7156298300 |
| Mailing Telephone | 8175043812 |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3904-226 | WI | Behavioral Health & Social Service Providers |
| Street Address |
2201 JACK BREAULT DR |
| City | HUDSON |
| State | WI |
| Zip Code | 54016-4547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003929324 | Laura J. Wrenn | Social Worker | 2201 Jack Breault Dr, Hudson, WI 54016-4547 | 2006-08-17 |
| 1831749225 | Wendy Haley | Counselor | 2201 Jack Breault Dr, Hudson, WI 54016-4547 | 2019-09-17 |
| 1275095143 | Deborah Jean Williams | Counselor | 2201 Jack Breault Dr, Hudson, WI 54016-4547 | 2019-04-01 |
| 1174069587 | Caitlyn Schmit | Marriage & Family Therapist | 2201 Jack Breault Dr, Suite 200, Hudson, WI 54016-4547 | 2017-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164921128 | Sara Lynn Henry | Occupational Therapy Assistant | 1320 Wisconsin St., Husdon, WI 54016 | 2018-02-06 |
| 1689003436 | Serving Hands Inc | Home Health | 1419 Boulder Court, Hudson, WI 54016 | 2013-11-02 |
| 1275973042 | Lisa Renee Haverly | Occupational Therapist | 477 Perch Lake Rd, Hudson, WI 54016 | 2013-06-26 |
| 1710320213 | Emily Ann Stevenson | Counselor | 901 4th St Ste 165, Hudson, WI 54016 | 2013-04-15 |
| 1083972954 | The Shurden Group | In Home Supportive Care | 2424 Monetary Blvd. #012, The Shurden Group Dba Comfort Keepers, Hudson, WI 54016 | 2012-04-30 |
| 1124305933 | Robert Michael Catlow-price | Massage Therapist | 131 Carmichael Road, Suite #202, Hudson, WI 54016 | 2011-11-08 |
| 1962780221 | Qin Chu | Acupuncturist | 1615 Maxwell Dr., Suite D, Hudson, WI 54016 | 2011-08-03 |
| 1124324231 | Hung Trieu Lieu | Acupuncturist | 1810 Crest View Dr Ste 4a, Hudson, WI 54016 | 2011-02-07 |
| 1912214966 | Sumac Residential LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 723 B Blue Jay Lane, Hudson, WI 54016 | 2010-09-10 |
| 1740593201 | Michelle Marie Young | Counselor | 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 | 2010-07-26 |
| Find all providers in zip 54016 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265942569 | Virginia Vogel | Counselor | 2201 Jack Breault Dr Ste 200, Hudson, WI 54016-4547 | 2017-10-02 |
| 1962936914 | Samantha Stubbe | Counselor | 2424 Monetary Blvd Ste 116, Hudson, WI 54016-8365 | 2017-04-17 |
| 1013300078 | Rochelle K Anderson | Counselor | 2910 Enloe St Ste 100, Hudson, WI 54016-4539 | 2015-03-13 |
| 1326441163 | Haley E Dunn | Counselor | 10 W. Streetsboro St., 107, Hudson, OH 44236 | 2014-10-08 |
| 1356770986 | Lisa M. Helgeson | Counselor | 706 19th St, Suite 1, Hudson, WI 54016-2161 | 2013-11-04 |
| 1962768838 | John M. Ropar | Counselor | 10 W. Streetsboro Rd., Hudson, OH 44236 | 2012-04-05 |
| 1740593201 | Michelle Marie Young | Counselor | 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 | 2010-07-26 |
| 1821326133 | Christine T Farell-lilla | Counselor | 2501 Hanley Rd, Ste. F, Hudson, WI 54016-8705 | 2009-11-24 |
| 1770716110 | Sherri J Borton | Counselor | 2630 N Maple Grove Hwy, Hudson, MI 49247-9622 | 2009-09-02 |
| 1780731430 | Jennifer Kraemer Herink | Counselor | 715 Orange St, Hudson, WI 54016-1763 | 2007-01-04 |
| Find all providers in HUDSON | ||||
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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.