ALICIA ELLIOTT (NPI# 1750798914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750798914 |
| Entity Type | Individual |
| Full Name | ALICIA ELLIOTT |
| Credential | MS |
| Practice Address |
504 Lakeland Rd Shawano WI 54166-3836 |
| Practice Telephone | 7155246841 |
| Mailing Telephone | 7155264700 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2019-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962949693 | Alicia Natoria Elliott | Home Health Aide | 129 Ivanhoe St Sw Apt 101, Washington, DC 20032-1026 | 2017-01-19 |
| 1588044432 | Alicia Lynn Elliott | Psychiatry & Neurology | 1301 8th St S, Moorhead, MN 56560-3604 | 2015-06-05 |
| 1740547801 | Alicia M Elliott | Counselor | 6380 Lbj Fwy Ste 299, Dallas, TX 75240-6439 | 2012-04-13 |
| 1699071100 | Alicia Ann Elliott | Clinical Nurse Specialist | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2011-01-31 |
| Street Address |
504 LAKELAND RD |
| City | SHAWANO |
| State | WI |
| Zip Code | 54166-3836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992894224 | Joann W Liska | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2006-10-12 |
| 1376001636 | Gregory Nordwig | Registered Nurse | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2019-03-06 |
| 1811495294 | Jenna Hammer | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2018-01-31 |
| 1326582305 | Christopher Kuhn | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2016-12-12 |
| 1659821981 | Shawano County Department of Human Services | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2016-10-11 |
| 1891180337 | Tracy Porath | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2015-04-01 |
| 1942695481 | Jeffrey Herman | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2015-04-01 |
| 1942607056 | Judy Laude | Social Worker | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2014-12-04 |
| 1558778324 | Julie Behnke | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2014-07-14 |
| 1942613609 | Cassandra Ebeling | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2014-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134641848 | Nicole Jeannine Klotzbuecher | Optometrist | 150 County Road B, Shawano, WI 54166 | 2017-07-13 |
| 1437605714 | Jennifer Marie Franke | Counselor | 504 Lakeland St, Shawano, WI 54166 | 2016-08-28 |
| 1699017913 | Benjamin D Schlais | Family Medicine | 100 County Hwy B, Shawano, WI 54166 | 2013-03-25 |
| 1154574366 | Luke T Johnson | Speech-Language Pathologist | N3684 River Road, Shawano, WI 54166 | 2008-10-31 |
| 1902054315 | Robert Joseph Bohr Jr. | Physical Therapy Assistant | N6590 Fox Lane, Shawano, WI 54166 | 2008-08-28 |
| 1790945863 | Patricia Rae Ainsworth | Physical Therapist | 1436 South Lincoln Street, Shawano, WI 54166 | 2008-06-12 |
| 1649491820 | Shawano-gresham School District | Local Education Agency (LEA) | 1050 South Union Street, Shawano, WI 54166 | 2007-05-02 |
| 1114043387 | Thomas G Peterson | Optometrist | 150a County Road B, Shawano, WI 54166 | 2007-03-21 |
| 1740343086 | John Milton Dovorany | Dentist | 1488 E Green Bay St, Shawano, WI 54166 | 2006-12-18 |
| 1265526305 | Charles E Lamarche | Counselor | 420 E Green Bay St, Ste 201, Shawano, WI 54166 | 2006-10-03 |
| Find all providers in zip 54166 | ||||
| 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 |
|---|---|---|---|---|
| 1831279694 | Jeannette Theresa Arias-flynn | Counselor | 100 County Rd B, Behavioral Health Shawano, Shawano, WI 54166-7072 | 2006-10-16 |
| 1265526305 | Charles E Lamarche | Counselor | 420 E Green Bay St, Ste 201, Shawano, WI 54166 | 2006-10-03 |
| 1629162771 | Elizabeth A Montour | Counselor | 1415 E Green Bay St, Ste 191, Shawano, WI 54166-3879 | 2006-10-03 |
| 1588757405 | Timothy J. Flynn | Counselor | 1415 East Green Bay St., Ste 191 Synergy Counseling Services, Sc, Shawano, WI 54166-3881 | 2006-10-02 |
| 1033127444 | Synergy Counseling Services, Inc | Counselor | 1415 East Green Bay St., Suite 191, Shawano, WI 54166-3881 | 2006-08-03 |
| 1053736140 | Tracy Van Ert | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2014-02-26 |
| 1447689450 | Jennifer Michalets | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2013-11-11 |
| 1154672889 | Katie Marie Marquardt | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2012-09-20 |
| 1407154511 | Rebecca A Egan | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2011-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528672326 | Myeshia Cunningham | Counselor | 3936 N 29th St, Milwaukee, WI 53216-2639 | 2020-08-31 |
| 1225646219 | Kaitlyn Schobert | Counselor | 6225 N Lake Dr, Whitefish Bay, WI 53217-4341 | 2020-07-16 |
| 1306464268 | Jennah E Benson | Counselor | 1 S Main Street, Janesville, WI 53545-3977 | 2020-07-08 |
| 1730704115 | Tanya Scheidegger | Counselor | 101 W Broadway # 2, Waukesha, WI 53186-4833 | 2020-06-11 |
| 1336762996 | Monica Lillian Cummings | Counselor | 7751 5th Ave, Kenosha, WI 53143-6006 | 2020-05-18 |
| 1235751447 | Luann Weik | Counselor | Childrens Hospital of Wi Genetics Center, 8915 W Connell Ct, Sta 716, Milwaukee, WI 53226-5322 | 2020-05-11 |
| 1053930867 | Jennifer Betters-bubon | Counselor | 127 E Prospect St, Stoughton, WI 53589-1650 | 2020-04-11 |
| 1700411048 | Kathleen M Allcox | Counselor | 4202 Monona Dr, Madison, WI 53716-1664 | 2020-03-06 |
| 1902437932 | Amanda Kay Harpt | Counselor | 516 Hilltop Dr, Green Bay, WI 54301-2718 | 2020-01-29 |
| 1912537333 | Jody Lee Erlicher | Counselor | 1114 S 11th St, Manitowoc, WI 54220-5217 | 2020-01-24 |
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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.