SANDRA J. GRASS (NPI# 1528285392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528285392 |
| Entity Type | Individual |
| Full Name | SANDRA J. GRASS |
| Other Name | SANDRA J GRASS KNISPEL |
| Credential | LCSW CADC III |
| Practice Address |
2620 Stewart Ave Ste 310 Wausau WI 54401-4162 |
| Practice Telephone | 7158480525 |
| Practice Fax Number | 7158488665 |
| Mailing Telephone | 7158480525 |
| Mailing Fax Number | 7158488665 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2009-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1524-132 | WI | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
3454-123 | WI | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
3454-123 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39629100 | 05 |
| Street Address |
2620 STEWART AVE STE 310 |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-4162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972616795 | Shannon C Schaefer | Psychologist | 2620 Stewart Ave, Suite 318, Wausau, WI 54401-4170 | 2006-08-16 |
| 1841411659 | David E Krigbaum Dds Sc | Dentist | 2620 Stewart Ave, Suite 218, Wausau, WI 54401-4170 | 2007-05-01 |
| 1932322427 | Michael Miles | Dentist | 2620 Stewart Ave, Suite 212, Wausau, WI 54401-4170 | 2007-04-11 |
| 1275601940 | Steven B Demille | Dentist | 2620 Stewart Ave, Suite 214, Wausau, WI 54401-4170 | 2006-12-01 |
| 1730253147 | Patricia Ann Cotrone | Counselor | 2620 Stewart Ave, Suite 310, Wausau, WI 54401-4170 | 2006-11-17 |
| 1750453049 | David Edmund Krigbaum | Dentist | 2620 Stewart Ave, Suite 218, Wausau, WI 54401-4170 | 2006-11-14 |
| 1427144054 | Charis Counseling, LLC | Psychologist | 2620 Stewart Ave, Ste 310, Wausau, WI 54401 | 2006-10-04 |
| 1033211743 | Paul Scott Lewis | Dentist | 2620 Stewart Ave, Suite 216, Wausau, WI 54401-4170 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619312683 | Whitney M Wirth | Counselor | 208 S 28th Ave, Wausau, WI 54401-4110 | 2013-05-05 |
| 1568709640 | Patrick Rohr | Counselor | 2620 W Stewart Ave Ste 310, Wausau, WI 54401-4162 | 2013-01-10 |
| 1558508499 | Catholic Charities of The Diocese of La Crosse, Inc. | Counselor | 401 5th St Ste 235, Wausau, WI 54403-5468 | 2009-01-14 |
| 1346867421 | Megan M Sheahan | Counselor | 2804 Rib Mountain Dr Ste D, Wausau, WI 54401-7473 | 2020-07-06 |
| 1629698378 | Michaella Brickner | Counselor | 705 S 24th Ave Ste 400, Wausau, WI 54401-5242 | 2020-04-23 |
| 1255992376 | Hailey Monk | Counselor | 901 N 6th St, Wausau, WI 54403-4718 | 2019-06-28 |
| 1245704188 | Jamie Diestelhorst | Counselor | 631 Forest St, Wausau, WI 54403-5524 | 2019-01-14 |
| 1750858130 | Susan Eileen Rood | Counselor | 741 N 1st St, Wausau, WI 54403 | 2018-10-24 |
| 1407331721 | Plu Her | Counselor | 501 Division St, Wausau, WI 54403-6206 | 2018-10-02 |
| 1932688595 | Chad Macmillan | Counselor | 114 Grand Ave, Wausau, WI 54403-6214 | 2018-08-14 |
| Find all providers in WAUSAU | ||||
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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.