ELLEN GREEN (NPI# 1689697831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689697831 |
| Entity Type | Individual |
| Full Name | ELLEN GREEN |
| Credential | CADC III, CCS |
| Practice Address |
797 E Geneva St Elkhorn WI 53121-2303 |
| Mailing Address |
285 N Janacek Rd Brookfield WI 53045-6102 |
| Practice Telephone | 2627231455 |
| Practice Fax Number | 2627231556 |
| Mailing Telephone | 2626419050 |
| Mailing Fax Number | 2626419126 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2008-01-02 |
| 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) |
11309 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39384200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164989620 | Ellen Green | Occupational Therapist | 7701 Las Colinas Ridge Suite 110, Irving, TX 75063 | 2019-02-20 |
| 1518429836 | Ellen Walford Green | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2019-04-04 |
| 1336573229 | Ellen Patricia Green | Speech-Language Pathologist | 1800 Westwind Dr, Building 500, Bakersfield, CA 93301-3055 | 2013-08-27 |
| 1033353982 | Ellen Hier Green | Family Medicine | 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 | 2009-04-22 |
| Street Address |
797 E GENEVA ST |
| City | ELKHORN |
| State | WI |
| Zip Code | 53121-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407872567 | Lura Asby | Psychologist | 797 E Geneva St, Elkhorn, WI 53121-2303 | 2006-07-14 |
| 1528381431 | Joyce Placzkowski | Counselor | 797 E Geneva St, Elkhorn, WI 53121-2303 | 2010-03-05 |
| 1063647147 | Mark Weitkum | Counselor | 797 E Geneva St, Elkhorn, WI 53121-2303 | 2009-05-19 |
| 1740304252 | Roberta L Marcus | Counselor | 797 E Geneva St, Elkhorn, WI 53121-2303 | 2007-03-19 |
| 1851402820 | Brian Wexler | Counselor | 797 E Geneva St, Elkhorn, WI 53121-2303 | 2006-08-31 |
| 1730100835 | Candace Ruman | Counselor | 797 E Geneva St, Elkhorn, WI 53121-2303 | 2006-07-22 |
| 1386665651 | Megan Hintz | Counselor | 797 E Geneva St, Elkhorn, WI 53121-2303 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851857601 | All Encompassing Counseling LLC | Clinic/Center | 209 O'connor Drive, Elkhorn, WI 53121 | 2019-02-18 |
| 1689023848 | Jill Bestul | Occupational Therapist | 1532 N. Fairway Lane, Elkhorn, WI 53121 | 2016-06-08 |
| 1578984571 | Aurora Pharmacy Inc. | Pharmacy | 201 E. Morrissey Dr, Suite 100, Elkhorn, WI 53121 | 2013-12-18 |
| 1467894394 | Stephanie Lynn Coates | Counselor | 1 1/2 West Geneva Street, Credence Therapy Associates, Elkhorn, WI 53121 | 2013-07-19 |
| 1871853846 | Roger Dwight Petersen | Family Medicine | 20 South Washington St, Elkhorn, WI 53121 | 2012-05-23 |
| 1184993792 | Adam D Lewis | Pharmacist | 939 N. Wisconsin St., Elkhorn, WI 53121 | 2011-12-28 |
| 1609035328 | Paul V Kreul | Dentist | 715 W Walworth St, Elkhorn, WI 53121 | 2008-06-06 |
| 1548482508 | Mary Brauer | Physical Therapist | W3930 Co Rd Nn, Elkhorn, WI 53121 | 2007-05-02 |
| 1245458140 | Tammie Eileen Demicco | Occupational Therapy Assistant | 1922 County Rd. Nn, Elkhorn, WI 53121 | 2007-04-23 |
| 1215150198 | Laura L Barnes | Physical Therapy Assistant | 1922 County Road Nn, Elkhorn, WI 53121 | 2007-04-10 |
| Find all providers in zip 53121 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528577277 | Marinna Mil Marotta | Counselor | 209 Oconnor Dr, Elkhorn, WI 53121-4269 | 2017-09-26 |
| 1467894394 | Stephanie Lynn Coates | Counselor | 1 1/2 West Geneva Street, Credence Therapy Associates, Elkhorn, WI 53121 | 2013-07-19 |
| 1932434974 | Duane Anthony Wallace | Counselor | 1 W Geneva St, Credence Therapy Associates, Elkhorn, WI 53121-1722 | 2009-10-08 |
| 1275763450 | Victoria Elizabeth Stegall | Counselor | 1045 S 217th St, Elkhorn, NE 68022-1933 | 2009-07-21 |
| 1144716150 | Paige Vorderstrasse | Counselor | 20275 Honeysuckle Dr Ste 103, Elkhorn, NE 68022-3962 | 2018-07-03 |
| 1093198335 | Catherine Griffith | Counselor | W4051 County Road Nn, Elkhorn, WI 53121-4338 | 2015-07-06 |
| 1164767059 | Malinda Beth Aney | Counselor | W4051 County Road Nn, Elkhorn, WI 53121-4338 | 2012-12-03 |
| 1619211497 | Heidi S Wood | Counselor | W4051 County Road Nn, Elkhorn, WI 53121-4338 | 2012-11-19 |
| 1073879201 | Michelle Schrubbe | Counselor | W4051 County Road Nn, Elkhorn, WI 53121-4338 | 2012-04-02 |
| 1528381431 | Joyce Placzkowski | Counselor | 797 E Geneva St, Elkhorn, WI 53121-2303 | 2010-03-05 |
| Find all providers in ELKHORN | ||||
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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.