STACEY KING (NPI# 1649733189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649733189 |
| Entity Type | Individual |
| Full Name | STACEY KING |
| Other Name | STACEY KING |
| Credential | COUNSELOR |
| Practice Address |
Rivershore Comprehensive Treatment Facility 3703 N Richards St, Milwaukee Wi Milwaukee WI 53212 |
| Mailing Address |
611a N 62nd St Wauwatosa WI 53213-4171 |
| Practice Telephone | 4143865859 |
| Mailing Telephone | 4143466423 |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2019-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
18842-130 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932552940 | Stacey King | Behavioral Analyst | 10 Concordia Rd, Mahopac, NY 10541-1225 | 2016-07-14 |
| 1386765022 | Stacey Sheree King | Physical Therapist | 300 Clinchfield St Ste 320, Kingsport, TN 37660-3856 | 2007-04-02 |
| 1831112028 | Stacey Dawn King | Chiropractor | 5101 Ross Ave, Dallas, TX 75206 | 2006-07-26 |
| 1205485067 | Stacey King | Nurse Anesthetist, Certified Registered | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2019-09-05 |
| 1649717323 | Stacey King | Behavioral Analyst | 23115 Rider St, Perris, CA 92570-9723 | 2017-01-19 |
| 1598146631 | Stacey King | Nurse Practitioner | 21141 State Highway 59 Ste 1, Robertsdale, AL 36567-6740 | 2015-06-15 |
| 1649508078 | Stacey King | Nurse Practitioner | 1630 Hospital Dr, Suite D, Santa Fe, NM 87505-4772 | 2009-11-23 |
| 1619090578 | Stacey Lynn King | Family Medicine | 7600 Shaffer Pkwy, Littleton, CO 80127-3004 | 2007-04-07 |
| Street Address |
RIVERSHORE COMPREHENSIVE TREATMENT FACILITY 3703 N RICHARDS ST, MILWAUKEE WI |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| 1871073437 | Rebecca Lynn Kanitz | Social Worker | 4200 N. Holton St., Suite 400, Milwaukee, WI 53212 | 2018-08-14 |
| Find all providers in zip 53212 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879982 | Veronicia S Green | Counselor | 2821 N Vel R Phillips Ave Ste 131, Milwaukee, WI 53212-2370 | 2020-10-19 |
| 1932733193 | 1 Step Away Divine Counseling Service LLC | Counselor | 6815 W Capitol Dr Ste 308, Milwaukee, WI 53216-2056 | 2020-02-26 |
| 1689216293 | Carollyn Black | Counselor | 4892 N 19th St, Milwaukee, WI 53209-5757 | 2019-10-15 |
| 1861046146 | Lisa Marie Ortiz | Counselor | 3336 S 76th St, Milwaukee, WI 53219-3805 | 2019-07-25 |
| 1891359576 | Kenneth Ginlack Sr Consulting Services LLC | Counselor | 3927 S Howell Ave Ste 102, Milwaukee, WI 53207-4421 | 2019-04-27 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1992280218 | Tanya Lynn Peters | Counselor | 9224 W Burleigh St, Milwaukee, WI 53222-3503 | 2018-10-02 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| 1639664923 | Krystalyn Goode | Counselor | 2625 N Weil Street, Milwaukee, WI 53212 | 2018-06-28 |
| 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.