LARISSA MILICEVIC (NPI# 1740603257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740603257 |
Entity Type | Individual |
Full Name | LARISSA MILICEVIC |
Credential | LPC |
Practice Address |
2108 63rd St Kenosha WI 53143-4454 |
Practice Telephone | 2626522406 |
Practice Fax Number | 2626522408 |
Mailing Telephone | 2626522406 |
Mailing Fax Number | 2626522408 |
Enumeration Date | 2014-02-04 |
Last Update Date | 2014-02-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
5251-125 | WI | Behavioral Health & Social Service Providers |
Street Address |
2108 63RD ST |
City | KENOSHA |
State | WI |
Zip Code | 53143-4454 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609982040 | Brian A Wolf | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2006-08-21 |
1033718440 | Mackenzie Dodge | Social Worker | 2108 63rd St, Kenosha, WI 53143-4454 | 2020-10-19 |
1194322065 | Susanne Smith | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2020-10-05 |
1215540547 | Nicholas Dean Dubios-rose | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2020-08-26 |
1972150654 | Nathaniel Willkomann | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2019-08-19 |
1710548185 | Megan Schilz | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2019-06-25 |
1588122253 | Carissa Johnson | Social Worker | 2108 63rd St, Kenosha, WI 53143-4454 | 2019-03-12 |
1386117851 | Sarah Magallon | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2019-01-08 |
1992278964 | Jamie-lee Nietupski | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2019-01-02 |
1881166189 | Arturo Perez | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2018-12-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891262275 | Shanda L Goecks | Registered Nurse | 6916 26th Ave, Kenosha, WI 53143 | 2018-10-24 |
1689942989 | Racine Kenosha Community Action Agency | Public Health or Welfare | 2000 63rd Street, Kenosha, WI 53143 | 2011-12-01 |
1538497797 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7525 Sheridan Rd, Kenosha, WI 53143 | 2009-11-30 |
1497929012 | Ebba M Johnson | Physical Therapist | 524 74th Street, Kenosha, WI 53143 | 2008-04-15 |
1770789489 | Kenosha Community Health Center, Inc | Family Medicine | 6226 14th Ave, Kenosha, WI 53143 | 2007-06-21 |
1558413161 | Junith M Thompson | Obstetrics & Gynecology | 6530 Sheridan Road, Kenosha, WI 53143 | 2007-01-17 |
1154471332 | Ljh Ambulance, Inc | Ambulance | 6329 28th Ave, Kenosha, WI 53143 | 2007-01-11 |
1578625794 | Michael A Schellpfeffer Md Ob Gyn Sc | Obstetrics & Gynecology | 1400 75th Street, Kenosha, WI 53143 | 2006-12-14 |
1457468654 | Yasmine S Sido | Physician Assistant | 7550 22nd Ave, Kenosha, WI 53143 | 2006-08-24 |
1356307359 | Nancy Jane Houtchens | Dentist | 7533 22nd Ave, Ste 100, Kenosha, WI 53143 | 2006-04-26 |
Find all providers in zip 53143 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316562101 | Victoria Meyer | Counselor | 8215 43rd Ave, Kenosha, WI 53142-4587 | 2020-06-08 |
1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
1346750056 | Christopher Francis Gerou | Counselor | 3813 21st Ave, Kenosha, WI 53140-5321 | 2017-10-08 |
1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
1306210539 | Sherry Lewis | Counselor | 2221 63rd St, Suite 8, Kenosha, WI 53143-4351 | 2015-11-27 |
1275907701 | Worth Counseling | Counselor | 7730 5th Ave, Kenosha, WI 53143-6007 | 2015-11-20 |
1053787788 | Angela J Kuffel | Counselor | Professional Services Group, 2108-63 Street, Kenosha, WI 53143-4454 | 2015-08-17 |
1063836187 | Melissa Carlberg | Counselor | 8503 75th St Ste A, Kenosha, WI 53142-7620 | 2014-02-10 |
1831534551 | Carla Doreen Pratt | Counselor | 6121 Green Bay Rd Ste 220, Kenosha, WI 53142-2983 | 2013-05-08 |
1114238656 | Holly K. Kegel | Counselor | 7530 39th Ave, Kenosha, WI 53142-4348 | 2010-06-30 |
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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.