PSYCHOTHERAPY CENTER OF WAUNAKEE LLC (NPI# 1578196168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578196168 |
Entity Type | Organization |
Organization Name | PSYCHOTHERAPY CENTER OF WAUNAKEE LLC |
Practice Address |
110 Baker St Ste C Waunakee WI 53597-2707 |
Mailing Address |
928 Lexington Way Waunakee WI 53597-2104 |
Practice Telephone | 6087129362 |
Mailing Telephone | 6087129362 |
Enumeration Date | 2020-02-21 |
Last Update Date | 2020-02-21 |
Authorized Official Name | JOHN RAYMOND WEISS (MEMBER) |
Authorized Official Telephone | 6087129362 |
Authorized Official Credential | MFT-IT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 1922512334 | 05 | |
WI | 1316440910 | 05 |
Street Address |
110 BAKER ST STE C |
City | WAUNAKEE |
State | WI |
Zip Code | 53597-2707 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841689478 | Ashley Clemens | Marriage & Family Therapist | 1108 Stephenson Ln Ste 116, Waunakee, WI 53597 | 2015-01-20 |
1821402595 | Gualberto Bisquera Mejia | Internal Medicine | 5936 Hogan Rd, Waunakee, WI 53597 | 2014-06-20 |
1972644706 | Jill M Mikkelson | Chiropractor | 1024 Quinn Drive, Waunakee, WI 53597 | 2007-02-12 |
1790823409 | Linda Anita Ballweg | Pharmacist | 208 Dorn Dr, Waunakee, WI 53597 | 2007-02-02 |
1457431611 | Phillip John Bakke | Chiropractor | 612 East Main Street, Bakke Chiropractic Clinic Sc, Waunakee, WI 53597 | 2006-10-16 |
1427007723 | Barbara J Schlittler | Physician Assistant | 1300 S Century Ave, Waunakee, WI 53597 | 2006-05-06 |
1750342051 | Curtis W Bush | Family Medicine | 208 S Century St, Waunakee, WI 53597 | 2006-03-28 |
1104358282 | Stonetree Therapy LLC | Marriage & Family Therapist | 1108 Stephenson Ln Ste 116, Waunakee, WI 53597 | 2017-03-29 |
1578862322 | Casey Thompson | Optometrist | 1300 S Century Ave, Waunakee, WI 53597 | 2011-03-18 |
1811020969 | Mathew Patrick Herbst | Family Medicine | 1300 S Century Ave, Waunakee, WI 53597 | 2007-03-14 |
Find all providers in zip 53597 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316440910 | John Raymond Weiss | Marriage & Family Therapist | 928 Lexington Way, Waunakee, WI 53597-2104 | 2018-03-10 |
1841689478 | Ashley Clemens | Marriage & Family Therapist | 1108 Stephenson Ln Ste 116, Waunakee, WI 53597 | 2015-01-20 |
1104358282 | Stonetree Therapy LLC | Marriage & Family Therapist | 1108 Stephenson Ln Ste 116, Waunakee, WI 53597 | 2017-03-29 |
1285001677 | Christopher Webster | Marriage & Family Therapist | 1108 Stephenson Ln Ste 116, Waunakee, WI 53597-2282 | 2015-09-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871105619 | Matthew Michael Richard Kobriger | Marriage & Family Therapist | 1477 S Knowles Ave Suite 120, New Richmond, WI 54017 | 2020-08-22 |
1700494473 | Kelsey Card | Marriage & Family Therapist | 702 N Blackhawk Ave Ste 215, Madison, WI 53705-3357 | 2020-07-20 |
1376161489 | Brenda R Lovick | Marriage & Family Therapist | 454 E Church Rd, Cambridge, WI 53523-9632 | 2020-07-06 |
1922624139 | Madeline Shay | Marriage & Family Therapist | 629 River St Ste C, Belleville, WI 53508-9189 | 2020-06-23 |
1437773736 | Andrew Clayton | Marriage & Family Therapist | 440 Science Dr Ste 300, Madison, WI 53711-1064 | 2020-06-02 |
1518580638 | Caitlin Stark | Marriage & Family Therapist | 518 Algoma St, Madison, WI 53704-4813 | 2020-05-22 |
1366065757 | Coltan James Schoenike | Marriage & Family Therapist | 500 12th Ave W Apt 30, Menomonie, WI 54751-2445 | 2020-05-20 |
1154957314 | William Jay Blevins | Marriage & Family Therapist | 2564 Branch St Ste B5, Middleton, WI 53562-2850 | 2020-03-19 |
1194355230 | Michelle Nicole King | Marriage & Family Therapist | 757 Martin Ave, Hudson, WI 54016-7762 | 2020-01-16 |
1083253074 | Fwj Her | Marriage & Family Therapist | 393 Red Cedar St Ste 3, Menomonie, WI 54751-2267 | 2019-12-23 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on PSYCHOTHERAPY CENTER OF WAUNAKEE LLC.
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.