MR. BRAYER K. AMBLE (NPI# 1710172069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710172069 |
| Entity Type | Individual |
| Full Name | MR. BRAYER K. AMBLE |
| Credential | CSAC,CCS |
| Practice Address |
231 Copeland Ave La Crosse WI 54603-3086 |
| Mailing Address |
231 Copeland Ave P.o. Box 1836 La Crosse WI 54603-3086 |
| Practice Telephone | 6087827152 |
| Practice Fax Number | 6087851241 |
| Mailing Telephone | 6087827152 |
| Mailing Fax Number | 6087851245 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
14249 | WI | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11454-132 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43568700 | 05 |
| Street Address |
231 COPELAND AVE |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54603-3086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821281577 | Coulee Youth Centers, Inc. | Community/Behavioral Health | 231 Copeland Ave, La Crosse, WI 54603-3086 | 2007-08-24 |
| 1649465964 | Warren W Bjorge | Social Worker | 231 Copeland Ave, La Crosse, WI 54603-3086 | 2007-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215581855 | Sophia Buchda | Behavior Technician | 901 Caledonia Street, La Crosse, WI 54603 | 2019-08-01 |
| 1891142865 | Hha of Wisconsin, LLC | Home Health | 2400 Rose St Ste 14, La Crosse, WI 54603 | 2016-05-19 |
| 1225415540 | Alexander Blaschke | Podiatrist | 1009 Caledonia St, La Crosse, WI 54603 | 2015-05-06 |
| 1982986345 | Christopher W Hutchinson | Pharmacist | 2626 Rose Street, La Crosse, WI 54603 | 2011-09-12 |
| 1932284494 | Vision World Inc | Eyewear Supplier (Equipment, not the service) | 3800 State Road 16, La Crosse, WI 54603 | 2006-10-25 |
| 1083618722 | Teddy Leonard Thompson | Family Medicine | 1526 Rose Street, La Crosse, WI 54603 | 2005-06-10 |
| 1518459155 | Alexis Ericson | Occupational Therapy Assistant | 901 Caledonia St, La Crosse, WI 54603 | 2018-05-30 |
| 1578925046 | Vicki Lynne Iverson | Registered Nurse | 1407 St. Andrew St., La Crosse, WI 54603 | 2016-03-24 |
| 1194158865 | John Patrick Smieja | Pharmacist | 2400 Rose St, La Crosse, WI 54603 | 2013-08-16 |
| 1275726663 | Jacqueline Berry Newcomb | Case Manager/Care Coordinator | 1407 St Andrew St, Suite 100 Lacrosse Co Human Services, La Crosse, WI 54603 | 2007-08-20 |
| Find all providers in zip 54603 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275026437 | Jennifer Winifred Walker | Counselor | 2011 21st Pl S, La Crosse, WI 54601-6661 | 2018-06-12 |
| 1801244025 | Lisa Jane Burnham | Counselor | 115 5th Ave S Ste 504, La Crosse, WI 54601-4079 | 2016-05-27 |
| 1730536673 | Mary Beth Springer | Counselor | 811 Rose St, La Crosse, WI 54603-2634 | 2016-05-20 |
| 1013326651 | Deborah Stelmach | Counselor | 444 Main St Ste 301, La Crosse, WI 54601-4099 | 2014-08-07 |
| 1144634189 | Joella Striebel | Counselor | 115 5th Ave S Ste 523, La Crosse, WI 54601-4018 | 2014-06-18 |
| 1487959912 | Kelly Jean Teachout | Counselor | 313 4th St S, La Crosse, WI 54601-4047 | 2011-01-13 |
| 1235469339 | Kay Elizabeth Lisick | Counselor | 3152 28th St S, La Crosse, WI 54601-7612 | 2010-01-12 |
| 1336318948 | Susan Jean Cowell | Counselor | 319 Main St Ste 302, La Crosse, WI 54601-0707 | 2008-02-27 |
| 1306902747 | Teri Mcdougle | Counselor | 4647 Mormon Coulee Rd, La Crosse, WI 54601-8225 | 2006-12-29 |
| 1245270172 | Mark D. Hollowitsch | Counselor | 212 11th Street S., La Crosse, WI 54601-4116 | 2006-06-08 |
| Find all providers in LA CROSSE | ||||
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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.