KENNAN F HORN (NPI# 1740334770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740334770 |
| Entity Type | Individual |
| Full Name | KENNAN F HORN |
| Credential | M.S.W.,C.I.C.S.W |
| Practice Address |
840 Willard Dr Suite 201 Green Bay WI 54304-5204 |
| Practice Telephone | 9204970788 |
| Mailing Telephone | 9204970788 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1557-123 | WI | Behavioral Health & Social Service Providers |
| Street Address |
840 WILLARD DR SUITE 201 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-5204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063693273 | Child and Family Consultants | Clinic/Center | 840 Willard Dr, Suite 201, Green Bay, WI 54304-5204 | 2007-11-15 |
| 1578617502 | Cheryl K Rotherham | Marriage & Family Therapist | 840 Willard Dr, Suite 102, Green Bay, WI 54304-5204 | 2007-01-23 |
| 1386799328 | William Bradford Lyles | Psychiatry & Neurology | 840 Willard Dr, Suite 201, Green Bay, WI 54304-5204 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063893667 | Megan Lynn Vandenbosch | Marriage & Family Therapist | 926 Willard Dr Ste 126, Green Bay, WI 54304-5071 | 2015-06-09 |
| 1699195693 | Rebecca Lynne Hanke | Marriage & Family Therapist | 1263 Main St Ste 122, Green Bay, WI 54302-1341 | 2014-04-17 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1851468227 | Gail Sell | Marriage & Family Therapist | 2300 Lineville Rd, Suite 200, Green Bay, WI 54313-8859 | 2006-11-29 |
| 1750345021 | Gina Marie Greatens | Marriage & Family Therapist | 909 Cherry St, Green Bay, WI 54301-4823 | 2006-04-13 |
| 1417518812 | Nicole Marie De Valk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304-5296 | 2019-06-26 |
| 1689153918 | Tina Lintner | Marriage & Family Therapist | 1575 Allouez Ave, Green Bay, WI 54311-5639 | 2018-08-08 |
| 1972939445 | Jaclyn A Weiss | Marriage & Family Therapist | 2475 University Ave, Suite A, Green Bay, WI 54302-5099 | 2013-09-17 |
| 1558795690 | Amanda Clare Anderson | Marriage & Family Therapist | 130 E Walnut St, Green Bay, WI 54301-4239 | 2013-08-26 |
| 1578814026 | Linda Schwallie LLC | Marriage & Family Therapist | 926 Willard Dr, Green Bay, WI 54304-5071 | 2012-09-24 |
| 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.