KATRINA L DOROW STEVENS (NPI# 1558899187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558899187 |
| Entity Type | Individual |
| Full Name | KATRINA L DOROW STEVENS |
| Credential | MA |
| Practice Address |
230 Park St Wautoma WI 54982-9031 |
| Mailing Address |
Po Box 1230 Wautoma WI 54982-1230 |
| Practice Telephone | 9207876550 |
| Practice Fax Number | 9207870421 |
| Mailing Telephone | 9207876550 |
| Mailing Fax Number | 9207870421 |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2018-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6827 | WI | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
2786 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100067177 | 05 |
| Street Address |
230 PARK ST |
| City | WAUTOMA |
| State | WI |
| Zip Code | 54982-9031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710961701 | Bobbie J Bleskey | Counselor | 230 Park St, Wautoma, WI 54982-9031 | 2005-12-02 |
| 1720628431 | Matthew J Trecroci | Counselor | 230 Park St, Wautoma, WI 54982-9031 | 2020-01-10 |
| 1780238956 | Keela Marie Phillips | Social Worker | 230 Park St, Wautoma, WI 54982-9031 | 2019-07-26 |
| 1760947881 | Clara L Voigtlander | Social Worker | 230 Park St, Wautoma, WI 54982-9031 | 2019-02-02 |
| 1043675127 | Andrea Lee Behnke | Counselor | 230 Park St, Wautoma, WI 54982-9031 | 2015-12-16 |
| 1982076618 | William James Harley | Counselor | 230 Park St, Wautoma, WI 54982-9031 | 2015-10-21 |
| 1174952352 | Janelle Kathleen Krueger | Counselor | 230 Park St, Wautoma, WI 54982-9031 | 2013-11-07 |
| 1801157128 | Kate Elizabeth Onsgard | Counselor | 230 Park St, Wautoma, WI 54982-9031 | 2012-06-04 |
| 1114205481 | Jennifer A Ward | Social Worker | 230 Park St, Wautoma, WI 54982-9031 | 2011-08-03 |
| 1396971842 | Brianna J Kulibert | Counselor | 230 Park St, Wautoma, WI 54982-9031 | 2009-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780919506 | Virginia Ellen Moon | Counselor | 203 South 16th Court, Wautoma, WI 54982 | 2009-10-13 |
| 1528232832 | County of Waushara | Public Health or Welfare | 230 W. Park Street, Wautoma, WI 54982 | 2008-04-17 |
| 1770770125 | Waushara County Government | Case Management | 205 W Elm St, Wautoma, WI 54982 | 2007-10-01 |
| 1063606325 | Wautoma Area School District | Local Education Agency (LEA) | 556 S Cambridge St, Wautoma, WI 54982 | 2007-08-30 |
| 1013036433 | David J Brown | Dentist | 400 S Townline Road, Box 1440, Wautoma, WI 54982 | 2007-03-28 |
| 1285773820 | Chiroplus Complementary Healthcare Centers, LLC | Chiropractor | W7841 State Rd 21 &73, Wautoma, WI 54982 | 2007-02-06 |
| 1881767887 | Louis Francis Cooper | Psychologist | W7199 Chicago Road, Wautoma, WI 54982 | 2006-11-16 |
| 1902840069 | Ann E. Moore | Pharmacist | 900 E. Divison St, Aurora Pharmacy #300, Wautoma, WI 54982 | 2006-06-16 |
| 1790737443 | Waushara Industries, Inc. | Non-emergency Medical Transport (VAN) | 210 E Townline Rd, Wautoma, WI 54982 | 2006-05-17 |
| 1164414736 | Kim Ownby | Physician Assistant | N2934 Hwy 22 North, Wautoma, WI 54982 | 2005-08-18 |
| Find all providers in zip 54982 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013328947 | Debra Jodarski | Counselor | N4107 13th Ln, Wautoma, WI 54982-5361 | 2014-05-14 |
| 1982076618 | William James Harley | Counselor | 230 Park St, Wautoma, WI 54982-9031 | 2015-10-21 |
| 1265714455 | Tanya M Amos | Counselor | 230 W Park Street, Wautoma, WI 54982-9031 | 2011-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811193 | Leah Marie Benz | Counselor | W3149 Koschnick Rd, Watertown, WI 53094-9415 | 2020-11-05 |
| 1891395174 | Michael Robert Skaggs | Counselor | 8618 Us Highway 51 N, Minocqua, WI 54548-9347 | 2020-10-27 |
| 1760099329 | Spencer Rea Hansen Thomas | Counselor | 3340 Lineville Rd, Green Bay, WI 54313-7237 | 2020-09-28 |
| 1265048029 | Kristen R Coffey | Counselor | 405 E Forest St, Oconomowoc, WI 53066-3707 | 2020-09-17 |
| 1902411663 | Kristen Camille Kapler | Counselor | 3899 Division Rd, Jackson, WI 53037-9707 | 2020-09-10 |
| 1952914780 | Michelle Lee Barth | Counselor | 208 Longview Ave, Green Bay, WI 54301-1034 | 2020-08-31 |
| 1316550197 | All R Welcome LLC | Counselor | 4465 N. Oakland Ave, Shorewood, WI 53211-0041 | 2020-08-31 |
| 1962016766 | Ciara Krueger | Counselor | 2987 Yarmouth Greenway Dr Ste 200, Fitchburg, WI 53711-5852 | 2020-08-31 |
| 1164032983 | Terra Swanson | Counselor | 310a N Brown St, Rhinelander, WI 54501-3103 | 2020-08-06 |
| 1124638069 | Brittney Schultz | Counselor | 405 E Forest St Ste 119, Oconomowoc, WI 53066-3707 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KATRINA L DOROW STEVENS.
| 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.