PREMIER MEDICAL & COUPLE THERAPY (NPI# 1629687108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629687108 |
| Entity Type | Organization |
| Organization Name | PREMIER MEDICAL & COUPLE THERAPY |
| Practice Address |
1025 W Glen Oaks Ln Ste 208 Mequon WI 53092-3374 |
| Practice Telephone | 2629576159 |
| Mailing Telephone | 2629576159 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |
| Authorized Official Name | JEANINE MARIE SWENSON (DIRECTOR & OWNER) |
| Authorized Official Telephone | 2629576159 |
| Authorized Official Credential | MD, LMFT |
| 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) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | G17772 | 05 |
| Street Address |
1025 W GLEN OAKS LN STE 208 |
| City | MEQUON |
| State | WI |
| Zip Code | 53092-3374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942790761 | Kathryn Mueller | Specialist/Technologist | 117 Linden Lane, Apt 7, Thiensville, WI 53092 | 2018-05-17 |
| 1427547082 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 10996 N Port Washington Rd, Mequon, WI 53092 | 2018-05-08 |
| 1912437252 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 11430 Port Washington Road, Mequon, WI 53092 | 2017-06-19 |
| 1629437256 | Sean S Tsang | Acupuncturist | 909 W. Mequon Rd., Mequon, WI 53092 | 2016-02-10 |
| 1497128433 | Nancy Snoots | Counselor | 4430 W Tarrytown Ln, Mequon, WI 53092 | 2015-11-12 |
| 1609265214 | Evan Guettel | Physical Therapist | 11363 N. Port Washington Road, Mequon, WI 53092 | 2015-01-20 |
| 1881091148 | Sarah Krueger | Counselor | 216 N Green Bay Rd Suite 108, Thiensville, WI 53092 | 2014-12-01 |
| 1245667088 | Lora Transportation, LLC | Non-emergency Medical Transport (VAN) | 1228 West Baldwin Crt., Mequon, WI 53092 | 2013-10-10 |
| 1710314000 | Roxxi M Davis | Social Worker | 7113 Tamarack Ct, Mequon, WI 53092 | 2013-10-01 |
| 1225473713 | Forefront Dermatology, S.c. | Dermatology | 10303 N Port Washington Rd Ste 101, Mequon, WI 53092 | 2013-05-09 |
| Find all providers in zip 53092 | ||||
| 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 |
|---|---|---|---|---|
| 1154629483 | Psychological Evaluation & Consulting Services | Clinic/Center | 1322 W Towne Square Rd, Mequon, WI 53092-5046 | 2011-03-10 |
| 1487701645 | Solutions Behavioral Health Group, Sc | Clinic/Center | 11124 N Cedarburg Rd Ste 150, Mequon, WI 53092-4362 | 2007-01-03 |
| 1366076184 | Era Wellness LLC | Clinic/Center | 1035 W Glen Oaks Ln Ste 204, Mequon, WI 53092-3395 | 2020-03-02 |
| 1780240614 | Sacred Wandering / Sacred Path Practitioners | Clinic/Center | 10134 N Port Washington Rd Ste G, Mequon, WI 53092-5700 | 2019-05-16 |
| 1861958993 | Andrea P Janis-towey Psychological Services LLC | Clinic/Center | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2019-02-13 |
| 1467923474 | Brian M. Fidlin Psychological Services | Clinic/Center | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2018-12-17 |
| 1770084469 | Nye Psychotherapy | Clinic/Center | 11345 N Port Washington Rd, Mequon, WI 53092-3411 | 2018-02-27 |
| 1376086868 | Righteous Parenting Association LLC | Clinic/Center | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2016-12-01 |
| 1902349988 | Therapy for Solutions LLC | Clinic/Center | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2016-11-23 |
| 1255790630 | Cedar Lake Counseling, Sc | Clinic/Center | 1035 W Glen Oaks Ln Ste 110, Mequon, WI 53092-3392 | 2016-02-15 |
| Find all providers in MEQUON | ||||
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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.