THERAN GAGE (NPI# 1578173852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578173852 |
| Entity Type | Individual |
| Full Name | THERAN GAGE |
| Practice Address |
200 W Alona Ln Lancaster WI 53813-2202 |
| Practice Telephone | 6087236357 |
| Mailing Telephone | 6087236357 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
200 W ALONA LN |
| City | LANCASTER |
| State | WI |
| Zip Code | 53813-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588618789 | County of Grant | Community/Behavioral Health | 200 W Alona Ln, Lancaster, WI 53813-2202 | 2006-05-20 |
| 1730793589 | Macee Sullivan | Counselor | 200 W Alona Ln, Lancaster, WI 53813-2202 | 2020-08-31 |
| 1194355636 | Darlene Masters | Counselor | 200 W Alona Ln, Lancaster, WI 53813-2202 | 2020-01-23 |
| 1568007615 | Kayzia Teal | Social Worker | 200 W Alona Ln, Lancaster, WI 53813-2202 | 2019-11-13 |
| 1437717501 | Emily Friederick | Counselor | 200 W Alona Ln, Lancaster, WI 53813-2202 | 2019-06-03 |
| 1457868663 | Jesse Brogley | Counselor | 200 W Alona Ln, Lancaster, WI 53813-2202 | 2018-01-09 |
| 1972979227 | Keri Lynn Fatzinger | Counselor | 200 W Alona Ln, Lancaster, WI 53813-2202 | 2015-08-20 |
| 1568867307 | County of Grant Dba Unified Community Services | Counselor | 200 W Alona Ln, Lancaster, WI 53813-2202 | 2014-10-22 |
| 1225438732 | Briana Hardyman | Counselor | 200 W Alona Ln, Lancaster, WI 53813-2202 | 2014-09-03 |
| 1669719639 | Kelly R Randall | Registered Nurse | 200 W Alona Ln, Lancaster, WI 53813-2202 | 2013-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015216 | Andrew Montgomery Simcox X | Psychologist | Unified Community Services, 200 West Alona Lane, Lancaster, WI 53813 | 2020-05-20 |
| 1720251804 | Debra M Drew | Licensed Practical Nurse | 4192 Hudson Hallow Road, Lancaster, WI 53813 | 2008-04-09 |
| 1184966400 | Ian Stormont | Urology | 507 S Monroe St, Lancaster, WI 53813 | 2013-03-25 |
| 1831466705 | Katherine C Reuter | Nurse Practitioner | 507 S Monroe St, Lancaster, WI 53813 | 2011-11-21 |
| 1164680443 | Tricia Lynn Vogelsberg | Occupational Therapist | 8800 Hwy 61, Lancaster, WI 53813 | 2008-05-23 |
| 1194056929 | Misty Landon | Licensed Practical Nurse | 438 N Harrison St, Lancaster, WI 53813-1021 | 2010-01-18 |
| 1760789648 | Sharla R Williams | Licensed Practical Nurse | 756 N Washington St Apt A, Lancaster, WI 53813-1071 | 2011-02-11 |
| 1790077501 | Sarah Mccartney | Registered Nurse | 933 W Elm St, Lancaster, WI 53813-1221 | 2011-05-11 |
| 1760806327 | Kathleen Schwantes | Licensed Practical Nurse | 436 W Pine St, Lancaster, WI 53813-1240 | 2014-02-18 |
| 1346665486 | Kathleen Schwantes | Registered Nurse | 436 W Pine St, Lancaster, WI 53813-1240 | 2014-02-26 |
| Find all providers in zip 53813 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700491461 | Rhyllis Christopher | Counselor | 246 High Street Ext Unit 1, Lancaster, MA 01523-2186 | 2020-09-10 |
| 1740803337 | Mmm Healthcare LLC | Counselor | 1499 Lynwood Dr Ste D, Lancaster, SC 29720-0964 | 2020-05-19 |
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1669006656 | Daryl James Clemens | Counselor | 3250 W Avenue J6 Apt 24, Lancaster, CA 93536-6146 | 2020-02-27 |
| 1699305078 | Wendy Gail Gaunt | Counselor | 143 N Pine St, Lancaster, PA 17603-3458 | 2020-01-24 |
| 1386280055 | Jessica Ann Port | Counselor | 1831 Lititz Pike, Lancaster, PA 17601-6501 | 2019-11-18 |
| 1629620851 | Campus Wellness Partners | Counselor | 313 W Liberty St Ste 350, Lancaster, PA 17603-2780 | 2019-07-09 |
| 1871152413 | Veronica Frazier | Counselor | 722 Oakbluff Dr, Lancaster, TX 75146-1429 | 2019-06-07 |
| 1417412669 | Nancy Martinez | Counselor | 44349 Lowtree Ave Ste 101, Lancaster, CA 93534-4104 | 2019-02-01 |
| 1285104695 | Alison Mann | Counselor | 1122 May Ct, Lancaster, TX 75146-4938 | 2018-11-28 |
| Find all providers in LANCASTER | ||||
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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.