VERONICA M ELLINGWORTH (NPI# 1528577152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528577152 |
| Entity Type | Individual |
| Full Name | VERONICA M ELLINGWORTH |
| Credential | MS, LPC, SAC |
| Practice Address |
135 W Main St Ste 207 Stoughton WI 53589-2178 |
| Mailing Address |
204 E Hubert St Edgerton WI 53534-1318 |
| Practice Telephone | 6088737838 |
| Mailing Telephone | 6086950960 |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2017-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 6410-125 | WI | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16161-131 | WI | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6410-125 | WI | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
6410-125 | WI | Behavioral Health & Social Service Providers |
| Street Address |
135 W MAIN ST STE 207 |
| City | STOUGHTON |
| State | WI |
| Zip Code | 53589-2178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467971507 | Linda Kay Balthazor | Registered Nurse | 900 Truman, Stoughton, WI 53589 | 2017-09-10 |
| 1801342464 | Lorchid Lanoway | Licensed Practical Nurse | 1817 Cedarbrook Ln, Unit 9, Stoughton, WI 53589 | 2016-09-01 |
| 1114203296 | Marilyn Mary Mackinnon | Pharmacist | 1705 Highway Fifty One, Stoughton, WI 53589 | 2011-11-02 |
| 1053693028 | Alfred Bennin | Pharmacist | 1705 Us Hwy 51/138, Stoughton, WI 53589 | 2011-09-15 |
| 1447531892 | Tina Ann Ferguson | Pharmacist | 1705 Us Highway 51, Stoughton, WI 53589 | 2011-08-30 |
| 1285926972 | Jenifer Lee Stokstad | Registered Nurse | 3496 Hwy 138, Stoughton, WI 53589 | 2011-05-12 |
| 1447583018 | Stephanie Marie Kind | Licensed Practical Nurse | 608 W South St, Stoughton, WI 53589 | 2009-09-14 |
| 1386885721 | Scott Tauferner | Physical Therapist | 2300 Us Hwy 51-138, Stoughton, WI 53589 | 2009-03-16 |
| 1245495480 | Roundy's Supermarkets Inc | Pharmacy | 1750 Hwy 51 W, Stoughton, WI 53589 | 2008-07-28 |
| 1720278005 | Judith Davis | Clinical Neuropsychologist | 716 Roby Rd, Stoughton, WI 53589 | 2007-08-01 |
| Find all providers in zip 53589 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902422736 | Melinda Asiamah | Counselor | 966 Park St Ste 2, Stoughton, MA 02072-3650 | 2020-06-17 |
| 1598323313 | Jessiqua Claffey | Counselor | 489 Page St, Stoughton, MA 02072-1129 | 2019-06-05 |
| 1003374273 | Ashia Noelle Johnson-merritt | Counselor | 647 School St, Stoughton, MA 02072-2727 | 2019-03-06 |
| 1912464603 | Stoughton Counseling Inc | Counselor | 1044 Central St Ste 202, Stoughton, MA 02072-4423 | 2019-02-28 |
| 1720543077 | Rachael E. Wilcox-rolniak | Counselor | Renz Counseling 378 Page St, Suite 6, Stoughton, MA 02072 | 2019-01-31 |
| 1942788112 | Lennox Oneil Green Jr. | Counselor | 185 Cedar St, Stoughton, MA 02072-3531 | 2018-07-31 |
| 1629561261 | Malachi Baugh | Counselor | 92 Walnut St, Stoughton, MA 02072-2639 | 2018-06-08 |
| 1942726203 | Jessica Clinton | Counselor | 30 Annina Ave, Stoughton, MA 02072-3981 | 2017-08-18 |
| 1861942401 | Allison Stansfield | Counselor | 14 Guild St, Stoughton, MA 02072-4148 | 2016-10-06 |
| 1174935449 | Lorraine K Gregg | Counselor | 450 Pearl St Ste 3&3b, Stoughton, MA 02072-1610 | 2014-05-21 |
| Find all providers in STOUGHTON | ||||
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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.