AMS OF WISCONSIN (NPI# 1568879971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568879971 |
Entity Type | Organization |
Organization Name | AMS OF WISCONSIN |
Practice Address |
9532 E 16 Frontage Rd Suite 100 Onalaska WI 54650-6739 |
Practice Telephone | 6087830506 |
Mailing Telephone | 6087830506 |
Enumeration Date | 2014-07-17 |
Last Update Date | 2014-07-17 |
Authorized Official Name | GREGGORY A SCHARF (AODA COUNSELOR) |
Authorized Official Telephone | 6087830506 |
Authorized Official Credential | SAC-IT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
17055130 | WI | Ambulatory Health Care Facilities |
Street Address |
9532 E 16 FRONTAGE RD SUITE 100 |
City | ONALASKA |
State | WI |
Zip Code | 54650-6739 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003150004 | Ams of Wisconsin, LLC | Clinic/Center | 9532 E 16 Frontage Rd, Suite 100, Onalaska, WI 54650-6739 | 2012-11-15 |
1316545452 | Kayla Fausti | Counselor | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2020-10-12 |
1043843048 | Katlyn Becker | Counselor | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2020-02-18 |
1093347650 | Aubryana Sullivan | Counselor | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2020-02-11 |
1861032435 | Jay Zabel | Registered Nurse | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2020-01-13 |
1922643881 | Susan Doehlert | Registered Nurse | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2019-11-14 |
1831730753 | William Boisvert | Registered Nurse | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2019-10-02 |
1538725932 | Jennie Simms | Registered Nurse | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2019-05-13 |
1063987576 | Beth Clements | Registered Nurse | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2018-10-11 |
1710452420 | Matthew Kinserdahl | Registered Nurse | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2018-10-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568824027 | Kyle Quillin | Student in an Organized Health Care Education/Training Program | 236 Kevin Ct, Onalaska, WI 54650 | 2016-03-24 |
1831577881 | Katelyn Nicole Patten | Counselor | 575 Lester Ave, Onalaska, WI 54650 | 2015-05-11 |
1619369758 | Amelia Vruble | Registered Nurse | 1047 Terrace Drive, Onalaska, WI 54650 | 2015-02-26 |
1699186528 | C. Nathan Vannatta | Physical Therapist | 3111 Gunersen Dr, Onalaska, WI 54650 | 2014-05-13 |
1770867640 | Claire Sweet | Pharmacist | 9400 Hwy 16, Target T-0620, Onalaska, WI 54650 | 2011-10-10 |
1306140439 | Jared I Darveaux | Internal Medicine | 311 Gundersen Dr, Onalaska, WI 54650 | 2011-01-04 |
1326299488 | Demetrios Spyridon Theodoropoulos | Allergy & Immunology | 2727 Midwest Drive, Onalaska, WI 54650 | 2008-10-08 |
1114190618 | Nancy Ellen Reithel | Physical Therapist | 610 Westwood Drive, Onalaska, WI 54650 | 2008-04-07 |
1902972896 | Maplewood Dental | Dentist | 1202 County Trunk Ph, Suite 300, Onalaska, WI 54650 | 2006-11-24 |
1245309327 | Benjamin John Breidenbach | Chiropractor | 1640 George St, Lacrosse, WI 54650 | 2006-11-06 |
Find all providers in zip 54650 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316987191 | Gundersen Clinic, Ltd. | Clinic/Center | 123 16th Ave S, Onalaska, WI 54650-3109 | 2006-06-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477151439 | Tetzlaff & Myhre Psychotherapy and Assessments, LLC | Clinic/Center | N55w37178 Roland St, Oconomowoc, WI 53066-5321 | 2020-10-13 |
1598377244 | Calming Journeys Counseling, S.c. | Clinic/Center | 220 Wisconsin Dells Pkwy S Ste 1, Wisconsin Dells, WI 53965-8305 | 2020-08-23 |
1811509979 | Natural Wisdom Counseling LLC | Clinic/Center | 1523 Wi-78 Trunk, Mount Horeb, WI 53572 | 2020-08-20 |
1245841089 | Integrated Counseling LLC | Clinic/Center | 7818 Big Sky Dr Ste 214, Madison, WI 53719-2840 | 2020-08-14 |
1629687108 | Premier Medical & Couple Therapy | Clinic/Center | 1025 W Glen Oaks Ln Ste 208, Mequon, WI 53092-3374 | 2020-07-30 |
1841809878 | Lifespan Psychotherapy | Clinic/Center | 510 Hartbrook Dr Ste 204b, Hartland, WI 53029-1440 | 2020-07-27 |
1114535929 | Eclipse Counseling LLC | Clinic/Center | 1136 Barron St, Eau Claire, WI 54703 | 2020-07-17 |
1275164709 | Katrina M. Johnson, LLC | Clinic/Center | 106 Passive Sun Drive, Soldiers Grove, WI 54655 | 2020-02-03 |
1316587439 | Sixteenth Street Community Health Centers, Inc. | Clinic/Center | 1635 W National Ave, Milwaukee, WI 53204-1130 | 2020-01-07 |
1386283034 | Mainstreet Counseling | Clinic/Center | 1717 11th St, Monroe, WI 53566-1839 | 2019-12-29 |
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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.