ANGELA GARDEBRECHT (NPI# 1730559451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730559451 |
| Entity Type | Individual |
| Full Name | ANGELA GARDEBRECHT |
| Practice Address |
300 Crooks St Green Bay WI 54301-4527 |
| Practice Telephone | 9204364360 |
| Practice Fax Number | 9204325966 |
| Mailing Telephone | 9204364360 |
| Mailing Fax Number | 9204325966 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2019-02-22 |
| 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) |
16546 | WI | Behavioral Health & Social Service Providers |
| Street Address |
300 CROOKS ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453167 | Family Services of Northeast Wisconsin Inc | Clinic/Center | 300 Crooks St, Green Bay, WI 54301-4527 | 2005-08-03 |
| 1649898636 | Cassondra Frisque | Counselor | 300 Crooks St, Green Bay, WI 54301-4527 | 2020-07-07 |
| 1861011363 | Libbi H Burke | Counselor | 300 Crooks St, Green Bay, WI 54301-4527 | 2020-04-14 |
| 1245870583 | Diana Aguilar | Counselor | 300 Crooks St, Green Bay, WI 54301-4527 | 2020-01-15 |
| 1316594021 | Sophia Marie Hipke | Counselor | 300 Crooks St, Green Bay, WI 54301-4527 | 2019-08-19 |
| 1932642592 | Stacie M Koskinen | Counselor | 300 Crooks St, Green Bay, WI 54301-4527 | 2016-11-29 |
| 1033667217 | Brenda J Malcoreq | Social Worker | 300 Crooks St, Green Bay, WI 54301-4527 | 2016-09-15 |
| 1477903524 | Rebecca Arrowood | Counselor | 300 Crooks St, Green Bay, WI 54301-4527 | 2016-06-20 |
| 1811346745 | Sarah C Thiesfeldt | Social Worker | 300 Crooks St, Green Bay, WI 54301-4527 | 2016-06-10 |
| 1790134625 | Casey M Coughlin | Social Worker | 300 Crooks St, Green Bay, WI 54301-4527 | 2016-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
| 1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| Find all providers in zip 54301 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1821522889 | Wayne Borowitz | Counselor | 621 E Walnut St, Green Bay, WI 54301-4001 | 2017-04-17 |
| 1427421023 | Katie Koebernik | Counselor | 424 S Monroe Ave Ste 201, Green Bay, WI 54301-4054 | 2015-11-04 |
| 1386041598 | Andrea Bonnin | Counselor | 2979 Allied St Ste C, Green Bay, WI 54304-5567 | 2014-12-03 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| 1790016467 | Deborah J Hauser | Counselor | 3150 Gershwin, Green Bay, WI 54311-5859 | 2010-01-20 |
| 1336372259 | Edwin A Chrisman | Counselor | 331 S Adams St, Green Bay, WI 54301-4515 | 2009-08-26 |
| 1457585614 | Adam Miles Sturdevant | Counselor | 1049 Dousman St, Green Bay, WI 54303-3003 | 2009-05-04 |
| 1659538361 | Regina E Cuellar-proctor | Counselor | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | 2008-05-20 |
| Find all providers in GREEN BAY | ||||
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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.