MR. GARY ROBERT PROBST (NPI# 1609318567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609318567 |
Entity Type | Individual |
Full Name | MR. GARY ROBERT PROBST |
Credential | LPC |
Practice Address |
384 W Sumner St Hartford WI 53027-1421 |
Mailing Address |
843 Bridlewood Dr Hartford WI 53027-2799 |
Practice Telephone | 2622440729 |
Practice Fax Number | 8662383845 |
Mailing Telephone | 2622440729 |
Mailing Fax Number | 8662383845 |
Enumeration Date | 2016-11-09 |
Last Update Date | 2016-11-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
577849 | WI | Behavioral Health & Social Service Providers |
Street Address |
384 W SUMNER ST |
City | HARTFORD |
State | WI |
Zip Code | 53027-1421 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164937033 | Jamie Lynn Velvikis | Counselor | 384 W Sumner St, Hartford, WI 53027-1421 | 2017-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942792254 | Quad/med, LLC | Clinic/Center | 1900 W. Sumner Street, Hartford, WI 53027 | 2018-06-01 |
1700390242 | Dr. Espinosa Dds Tooth Or Gum, LLC | Dentist | 784 South Main St, Hartford, WI 53027 | 2017-11-20 |
1598169559 | Amy Jo Hoeppner | Registered Nurse | 1621 Falcon Dr., Hartford, WI 53027 | 2014-10-20 |
1205179918 | Susan Aleen Sterman | Technician | 4835 Cty Rd U, Hartford, WI 53027 | 2013-04-01 |
1881927713 | Ross Timothy Koehler | Specialist/Technologist | 1900 W Sumner St, Hartford, WI 53027 | 2009-09-10 |
1518130004 | Kamalpreet Dulai | Family Medicine | 110 Lone Oak Lane, Hartford, WI 53027 | 2008-04-07 |
1679775688 | Kelly M Schroeder | Physical Therapist | 1640 E. Sumner Street, Hartford, WI 53027 | 2007-06-01 |
1871794453 | Sandra Ann Weber | Registered Nurse | 4815 North Merton Drive, Hartford, WI 53027 | 2007-05-30 |
1306051743 | Agnes P Dietenberger | Physical Therapy Assistant | 1640 E. Sumner St., Hartford, WI 53027 | 2007-05-11 |
1164636619 | Robert W Fulton | Physical Therapist | 1640 East Sumner Street, Hartford, WI 53027 | 2007-05-10 |
Find all providers in zip 53027 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659914331 | Heart Centered Counseling Services, LLC | Counselor | 674 Prospect Ave Ste 206, Hartford, CT 06105-4288 | 2019-10-24 |
1477036424 | Elise A Stark | Counselor | 1429 Park Street, Reset Floor One, Hartford, CT 06106-0700 | 2018-09-14 |
1063908101 | Flores & Peterson Counseling LLC | Counselor | 22 Sprague St, Hartford, CT 06106-4128 | 2018-07-02 |
1164912846 | Ann-marie Brown | Counselor | One Congress Street, Suite 210, Hartford, CT 06114 | 2018-05-17 |
1104351840 | Jennifer Everts | Counselor | 620 Pleasant Ave, Hartford, WI 53027-1955 | 2017-05-01 |
1689121378 | Taproot Integrative Care for Holistic Health | Counselor | 56 Arbor St Ste 106, Hartford, CT 06106-1223 | 2016-09-09 |
1144616517 | Leah Rivera-tighe | Counselor | 331 Wethersfield Ave Ste 2, Hartford, CT 06114-1438 | 2015-04-12 |
1689072076 | Jamie Winn | Counselor | 46 Coventry St, Hartford, CT 06112-1524 | 2014-12-17 |
1306255757 | Brittany Ridge Quinn | Counselor | 56 Arbor St Ste 216, Hartford, CT 06106-1224 | 2014-08-11 |
1275946261 | Barry D'andrea | Counselor | 80 Morris St, Apt A, Hartford, CT 06114-6022 | 2014-06-06 |
Find all providers in HARTFORD |
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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.