ALICIA L COOK (NPI# 1760704910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760704910 |
| Entity Type | Individual |
| Full Name | ALICIA L COOK |
| Credential | SAC |
| Practice Address |
902 Riverside Dr Ste 204 Waupaca WI 54981-1992 |
| Mailing Address |
3 Neenah Ctr Neenah WI 54956-3070 |
| Practice Telephone | 9207202300 |
| Practice Fax Number | 9207203719 |
| Mailing Telephone | 9204544101 |
| Mailing Fax Number | 9208305910 |
| Enumeration Date | 2010-02-15 |
| Last Update Date | 2020-04-21 |
| 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) |
15837 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1760704910 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1095 Midway Rd, Menasha, WI 549521115 | 9207202300 | 9207203719 |
| 3003 N Richmond St, Appleton, WI 549111148 | 9207301321 | 9207342824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932637659 | Alicia Michelle Cook | Specialist/Technologist | 41113 W Rio Bravo Dr, Maricopa, AZ 85138-9538 | 2017-05-24 |
| 1518483965 | Alicia Jane Cook | Case Manager/Care Coordinator | 775 E Eliza St, Kenton, OH 43326-1486 | 2017-08-17 |
| 1457802159 | Alicia Cook | Nurse Anesthetist, Certified Registered | 2173 Centerville Pl Ste A, Tallahassee, FL 32308-8303 | 2016-10-18 |
| 1386017515 | Alicia Cook | Counselor | 2180 Immokalee Rd, Suite 216, Naples, FL 34110-1421 | 2015-11-10 |
| 1952604167 | Alicia Ann Cook | Nurse Practitioner | 1 Childrens Way, Little Rock, AR 72202-3500 | 2010-12-09 |
| 1972596344 | Alicia Gail Cook | Nurse Practitioner | 214 Hospital Rd, Whitesburg, KY 41858-7627 | 2005-08-31 |
| Street Address |
902 RIVERSIDE DR STE 204 |
| City | WAUPACA |
| State | WI |
| Zip Code | 54981-1992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366096141 | Renee Elizabeth Winn | Speech-Language Pathologist | 800 Riverside Drive Dr. 902 Building, Speech Therapy, Waupaca, WI 54981 | 2019-07-30 |
| 1891263216 | Stephanie Rice | Dental Hygienist | N4008 Morgan Dr, Waupaca, WI 54981 | 2018-11-03 |
| 1972092989 | Renew Physical Therapy and Wellness, LLC | Physical Therapist | N2919 County Road Qq, Waupaca, WI 54981 | 2018-05-04 |
| 1366942195 | Lanna Boyle | Physical Medicine & Rehabilitation | E1132 Hillcrest Dr, Waupaca, WI 54981 | 2018-02-19 |
| 1710333893 | Thedacare Medical Center - Waupaca, Inc. | General Acute Care Hospital | N2610 Wi 22, Waupaca, WI 54981 | 2016-05-09 |
| 1750743365 | Kimberly Marie Kraeger | Counselor | Waupaca County Dhhs, 811 Harding St, Waupaca, WI 54981 | 2016-03-23 |
| 1619211596 | Kari Anna Esbensen | Counselor | N2919 Cty Qq, Waupaca, WI 54981 | 2012-11-16 |
| 1396027629 | Roots Wholistic Health | Chiropractor | 717 Churchill St., Waupaca, WI 54981 | 2011-09-13 |
| 1629387006 | Barton Jerome Blum | General Practice | E1803 Melody Lane, Waupaca, WI 54981 | 2010-10-01 |
| 1710219357 | Anne Marie Collins-reed | Social Worker | 315 River Road, New London, WI 54981 | 2010-02-08 |
| Find all providers in zip 54981 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346474715 | Guy S Connor | Counselor | 811 Harding St, Waupaca, WI 54981-2012 | 2009-05-13 |
| 1497994446 | Rebecca Ann Green | Counselor | 811 Harding St, Suite 1, Waupaca, WI 54981-2012 | 2009-02-16 |
| 1275622524 | Teresa Lee Taylor | Counselor | 190 Grand Seasons Dr, Waupaca, WI 54981-8219 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396255 | Cassandra C Coates | Counselor | 134 Main St Apt 117, Racine, WI 53403-4623 | 2020-11-03 |
| 1649879982 | Veronicia S Green | Counselor | 2821 N Vel R Phillips Ave Ste 131, Milwaukee, WI 53212-2370 | 2020-10-19 |
| 1578160974 | Jennifer A Nyman | Counselor | 2408 N 89th St, Wauwatosa, WI 53226-1804 | 2020-10-08 |
| 1558977991 | Guided Solutions Therapy, LLC | Counselor | 126 W Holum St, Deforest, WI 53532-1108 | 2020-09-21 |
| 1396359337 | Sarah Luetzow Marten | Counselor | 6441 Enterprise Ln Ste 101, Madison, WI 53719-1180 | 2020-09-08 |
| 1891313656 | Kayla Lynn Fazzari | Counselor | N168w20964 Main St, Jackson, WI 53037-9634 | 2020-07-08 |
| 1518580182 | Michele Denise Perron | Counselor | 912 Baxter Ave, Superior, WI 54880-1735 | 2020-05-18 |
| 1003438391 | Kimberly Rose Schlomann | Counselor | W227s10580 River Ave, Big Bend, WI 53103-9563 | 2020-05-10 |
| 1477174381 | Sarah Ross | Counselor | 302 West Lake St., Friendship, WI 55934 | 2020-05-01 |
| 1124657721 | Joanne Berthelsen Lcsw LLC | Counselor | 830 Armour Rd Ste 2, Oconomowoc, WI 53066-3959 | 2020-04-06 |
| Find all providers with the same taxonomy | ||||
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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.