KELLY A BOREN (NPI# 1649370727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649370727 |
| Entity Type | Individual |
| Full Name | KELLY A BOREN |
| Credential | MS, LPC |
| Practice Address |
2015 E Newport Ave Suite 404 Milwaukee WI 53211-2984 |
| Practice Telephone | 4149615520 |
| Mailing Telephone | 4149615520 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3633-125 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41008600 | 05 |
| Street Address |
2015 E NEWPORT AVE SUITE 404 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53211-2984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366433815 | Columbia St. Mary's Hospital Milwaukee, Inc | Pharmacy | 2015 E Newport Ave, Ste M121, Milwaukee, WI 53211-2984 | 2005-11-03 |
| 1295967511 | Kim Ann Heim | Nurse Practitioner | 2015 E Newport Ave, Suite 409, Milwaukee, WI 53211-2984 | 2009-08-20 |
| 1497937999 | Kristine M. Dunlap | Psychologist | 2015 E Newport Ave, Suite 409, Milwaukee, WI 53211-2984 | 2007-11-27 |
| 1144417023 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 2015 E Newport Ave, Milwaukee, WI 53211-2984 | 2007-09-25 |
| 1144428269 | Craig A. Siverhus, Md Sc | Surgery | 2015 E Newport Ave, Suite 305, Milwaukee, WI 53211-2984 | 2007-07-10 |
| 1487852505 | Joseph P Regan Md Sc | Surgery | 2015 E Newport Ave, Suite305, Milwaukee, WI 53211-2984 | 2007-07-10 |
| 1457558603 | Alexander C Stolarski | Psychologist | 2015 E Newport Ave, Suite 409, Milwaukee, WI 53211-2984 | 2007-06-29 |
| 1255535324 | Milwaukee Urological Sc | Urology | 2015 E Newport Ave, Suite 500, Milwaukee, WI 53211-2984 | 2007-06-13 |
| 1689885303 | James R. Rice | Registered Nurse | 2015 E Newport Ave, Suite 409, Milwaukee, WI 53211-2984 | 2007-05-24 |
| 1013037969 | Robert Stanley Stemberger | Dentist | 2015 E Newport Ave, 405, Milwaukee, WI 53211-2984 | 2007-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
| Find all providers in zip 53211 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508475963 | Anna Banwell | Counselor | 710 W Historic Mitchell St Apt 703, Milwaukee, WI 53204-3559 | 2020-07-30 |
| 1225658826 | Callie Barfield | Counselor | 9096 N Tennyson Dr, Milwaukee, WI 53217-1967 | 2020-04-23 |
| 1043849698 | Amanda Joann Degner | Counselor | 329 W National Ave Apt 2, Milwaukee, WI 53204-1702 | 2020-04-06 |
| 1467092320 | Christina Manolatos | Counselor | 3921 N Humboldt Blvd Apt 801, Milwaukee, WI 53212-1365 | 2020-01-08 |
| 1780235267 | Toni W Pharm | Counselor | 8018 W Capitol Dr Ste 206, Milwaukee, WI 53222-1906 | 2019-09-25 |
| 1407417983 | Damira Grady | Counselor | 11303 W Appleton Ln, Milwaukee, WI 53225-1200 | 2019-06-25 |
| 1265091664 | Drew David Dryssen | Counselor | 8800 W Bluemound Rd, Milwaukee, WI 53226-4626 | 2019-06-10 |
| 1013574409 | Patricia Michelle Carrington | Counselor | 1409 E Capitol Dr Ste 202, Milwaukee, WI 53211-1959 | 2019-05-22 |
| 1730647959 | Andrea Renee Zulkowski | Counselor | 3732 W Wisconsin Ave Ste 320, Milwaukee, WI 53208-3166 | 2019-03-06 |
| 1831662063 | Svenja Michela Rauchstaedt-schneider | Counselor | 5719 W Fountain Ave, Milwaukee, WI 53223-4227 | 2019-01-10 |
| Find all providers in MILWAUKEE | ||||
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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.