GREGORY MATHEW KOLAR (NPI# 1710070305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710070305 |
| Entity Type | Individual |
| Full Name | GREGORY MATHEW KOLAR |
| Credential | MS ED |
| Practice Address |
115 E Waldo Blvd Manitowoc WI 54220 |
| Mailing Address |
4555 W Schroeder Drive Suite 170 Milwaukee WI 53223 |
| Practice Telephone | 9206826087 |
| Mailing Telephone | 4143653210 |
| Mailing Fax Number | 4143653225 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40969400 | 05 |
| Street Address |
115 E WALDO BLVD |
| City | MANITOWOC |
| State | WI |
| Zip Code | 54220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487761581 | Barbara Hyde Stohl | Social Worker | 115 E Waldo Blvd, Manitowoc, WI 54220-2907 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235614843 | Katherine Borchardt | Registered Nurse | 3520 Foxfire Ct, Manitowoc, WI 54220 | 2018-09-28 |
| 1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
| 1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
| 1831593821 | Brittany Camille Schultz | Acupuncturist | 2510 Washington Street, Manitowoc, WI 54220 | 2014-10-20 |
| 1710311261 | Brian E Weitz | Physical Therapy Assistant | 960 S. Rapids Rd., Manitowoc, WI 54220 | 2013-09-01 |
| 1134499080 | Total Renal Care Inc | Clinic/Center | 3303 Dewey St, Manitowoc, WI 54220 | 2012-01-10 |
| 1679858534 | Lisa M Noworatzky | Marriage & Family Therapist | 926 S. 8th St., Manitowoc, WI 54220 | 2011-10-11 |
| 1306177225 | Cynthia Fay Wenzel | Licensed Practical Nurse | 915 East Linden Avenue, Manitowoc, WI 54220 | 2010-01-15 |
| 1851550628 | Roundys Supermarkets Inc | Pharmacy | 3300 Calumet Ave, Manitowoc, WI 54220 | 2008-06-05 |
| 1851566079 | Jennifer C Mcwilliams | Registered Nurse | 1004 Nth 8th St., Manitowoc, WI 54220 | 2008-04-29 |
| Find all providers in zip 54220 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912537333 | Jody Lee Erlicher | Counselor | 1114 S 11th St, Manitowoc, WI 54220-5217 | 2020-01-24 |
| 1376886697 | Tammy Sheffer | Counselor | 1611 Jasmine Dr, Manitowoc, WI 54220-2223 | 2013-04-04 |
| 1265606123 | Lisa Rae Korslin | Counselor | 926 South 8th Street, Manitowoc, WI 54221-1177 | 2008-04-22 |
| 1841407640 | Wayne K Edmonds | Counselor | 926 S 8th Street, Manitowoc, WI 54220 | 2007-05-17 |
| 1811474604 | Lindsay Connon | Counselor | 926 South 8th Street, Manitowoc, WI 54221-1177 | 2018-07-24 |
| 1952836702 | Amanda M Miller | Counselor | 926 S 8th Street, Manitowoc, WI 54221-1177 | 2017-04-28 |
| 1649718719 | Whitney L Klein | Counselor | 926 South 8th Street, Manitowoc, WI 54221-1177 | 2017-02-08 |
| 1902179591 | Matthew James Fure | Counselor | 926 South 8th Street, Manitowoc, WI 54221-1177 | 2012-02-14 |
| 1285906214 | Betsy Johnson | Counselor | 926 S 8th St, Manitowoc, WI 54220-4535 | 2012-02-07 |
| 1588992275 | Bellin Psychiatric Center Inc | Counselor | 3415 Custer St, Suite D, Manitowoc, WI 54220-4356 | 2009-11-18 |
| Find all providers in MANITOWOC | ||||
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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.