INSPIRING MINDS - PEDIATRIC AUTISM CONSULTATION AND THERAPY, LLC (NPI# 1609412667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609412667 |
| Entity Type | Organization |
| Organization Name | INSPIRING MINDS - PEDIATRIC AUTISM CONSULTATION AND THERAPY, LLC |
| Practice Address |
2223 Terrace View Dr Apt 3a Sheboygan WI 53081-5486 |
| Practice Telephone | 7159665216 |
| Mailing Telephone | 7159665216 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| Authorized Official Name | CHASIDY DAWN WILKE (OWNER / CLINIC DIRECTOR) |
| Authorized Official Telephone | 7159665216 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| IMPACT, LLC | Doing Business As Name - Organization |
| Street Address |
2223 TERRACE VIEW DR APT 3A |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081-5486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| 1750704458 | Caitlin Elizabeth Courtney | Speech-Language Pathologist | 2131 S Business Drive, Sheboygan, WI 53081 | 2014-01-31 |
| Find all providers in zip 53081 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104424332 | David Alberts | Behavioral Analyst | 502 Atlas Ave, Madison, WI 53714-3108 | 2020-10-09 |
| 1518574516 | Chelsey Logan | Behavioral Analyst | 519 Midland Ct Ste 2and5, Janesville, WI 53546-2348 | 2020-09-24 |
| 1982218327 | Brooke Boss | Behavioral Analyst | N4103 Dam Rd, Delavan, WI 53115-2979 | 2020-09-02 |
| 1972115426 | Amber L Allen | Behavioral Analyst | 10930 W Potter Rd Ste A, Wauwatosa, WI 53226-3450 | 2020-08-17 |
| 1033728753 | Kristin Nichol Floss | Behavioral Analyst | N4175 County Road K, Shawano, WI 54166-7036 | 2020-07-28 |
| 1316556111 | Melissa Ann Bowman | Behavioral Analyst | 3333 N Mayfair Rd Ste 110, Wauwatosa, WI 53222-3219 | 2020-07-28 |
| 1194343707 | Bridges Consultation and Treatment | Behavioral Analyst | W4874 Edelweiss Road, New Glarus, WI 53574 | 2020-07-09 |
| 1811512296 | Amy Cliff Graham | Behavioral Analyst | 410 N Shore Dr, Scandinavia, WI 54977-9215 | 2020-06-11 |
| 1174147078 | Emma Castrogiovanni | Behavioral Analyst | 575 Donofrio Dr Ste 200, Madison, WI 53719-2832 | 2020-06-05 |
| 1407470685 | Emily Wendt | Behavioral Analyst | 4500 Industrial Park Rd, Stevens Point, WI 54481-5014 | 2020-06-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on INSPIRING MINDS - PEDIATRIC AUTISM CONSULTATION AND THERAPY, 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.