GJB HEALTH SERVICES, LLC (NPI# 1659711687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659711687 |
| Entity Type | Organization |
| Organization Name | GJB HEALTH SERVICES, LLC |
| Practice Address |
711 N Lynndale Dr Ste 1a Appleton WI 54914-3078 |
| Mailing Address |
2800 E Enterprise Ave Suite 12 Appleton WI 54913-7889 |
| Practice Telephone | 9205604585 |
| Practice Fax Number | 9205606618 |
| Mailing Telephone | (920) 217-7861 |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2017-10-12 |
| Authorized Official Name | MRS. GLORIA JEAN BANNASCH (OWNER) |
| Authorized Official Telephone | 9202177861 |
| Authorized Official Credential | M.ED., LPC, NCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4281-125 | WI | Behavioral Health & Social Service Providers |
| Street Address |
711 N LYNNDALE DR STE 1A |
| City | APPLETON |
| State | WI |
| Zip Code | 54914-3078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639246382 | Dorothy A Fonstad | Counselor | 711 N Lynndale Dr Ste 1a, Appleton, WI 54914-3078 | 2006-11-29 |
| 1043811391 | Kari Beth Steffes | Psychiatry & Neurology | 711 N Lynndale Dr Ste 1a, Appleton, WI 54914-3078 | 2020-11-03 |
| 1346741345 | Korah Lee Petrasko | Counselor | 711 N Lynndale Dr Ste 1a, Appleton, WI 54914-3078 | 2018-02-24 |
| 1336658285 | Jillian Rotzenberg | Counselor | 711 N Lynndale Dr Ste 1a, Appleton, WI 54914-3078 | 2017-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1568099729 | Access Elevator, Inc. | Contractor | 1314 W. College Ave, Appleton, WI 54914 | 2020-03-26 |
| 1124677885 | Sharon Darla Cornell | Technician | 3117 N. Mistwood Lane, Appleton, WI 54914 | 2019-09-05 |
| 1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
| 1356863252 | Uvanta Pharmacy LLC | Pharmacy | 1050 S Grider St, Suite C, Appleton, WI 54914 | 2017-07-12 |
| 1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
| 1609269489 | Shane Scott Urban | Social Worker | 444 N. Westhill Blvd., Appleton, WI 54914 | 2015-03-18 |
| 1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
| 1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
| 1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
| Find all providers in zip 54914 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083236178 | Katherine Kirchner | Counselor | 1636 W Homestead Dr, Appleton, WI 54914-2026 | 2020-05-11 |
| 1679114136 | Trever Jaymes Allcock | Counselor | 711 N Lynndale Dr, Appleton, WI 54914-3078 | 2019-10-04 |
| 1780232231 | Mark Andrew Wilkerson | Counselor | 446 N Westhill Blvd Ste 6, Appleton, WI 54914-6533 | 2019-08-28 |
| 1013563030 | Nhia Moua | Counselor | 5601 W Grande Market Dr Ste N, Appleton, WI 54913-8511 | 2019-08-15 |
| 1457819419 | Charisma L Deyo-sonntag | Counselor | 1047 N Lynndale Dr Ste 2b, Appleton, WI 54914-3059 | 2019-03-08 |
| 1639643802 | Julie Ann Prudom | Counselor | 524 W Wayfarer Ct, Appleton, WI 54913-6865 | 2019-01-21 |
| 1588130827 | Joann Marie Miller | Counselor | 5601 W Grande Market Dr Ste A1, Appleton, WI 54913-8506 | 2018-10-14 |
| 1003301870 | Walk By Faith Counseling, LLC | Counselor | W6268 Spencer Rd, Appleton, WI 54914-7528 | 2018-06-25 |
| 1699269241 | Deanna Sieg | Counselor | 1920 N Casaloma Dr, Appleton, WI 54913-7982 | 2018-06-18 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| Find all providers in APPLETON | ||||
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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.