JASON M. LECLAIR (NPI# 1760784128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760784128 |
| Entity Type | Individual |
| Full Name | JASON M. LECLAIR |
| Credential | SAC-IT |
| Practice Address |
6416 S Howell Ave Oak Creek WI 53154-1104 |
| Mailing Address |
285 N Janacek Rd Brookfield WI 53045-6102 |
| Practice Telephone | 4147625429 |
| Practice Fax Number | 4147629727 |
| Mailing Telephone | 2626419050 |
| Mailing Fax Number | 2626419126 |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16000-130 | WI | Behavioral Health & Social Service Providers |
| Street Address |
6416 S HOWELL AVE |
| City | OAK CREEK |
| State | WI |
| Zip Code | 53154-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902825698 | Lynn Hansen | Social Worker | 6416 S Howell Ave, Oak Creek, WI 53154-1104 | 2006-07-19 |
| 1982198859 | Anna Boteva | Counselor | 6416 S Howell Ave, Oak Creek, WI 53154-1104 | 2018-06-14 |
| 1356695803 | Kathryn Demiri | Counselor | 6416 S Howell Ave, Oak Creek, WI 53154-1104 | 2012-11-06 |
| 1467728683 | Mary Harvey | Counselor | 6416 S Howell Ave, Oak Creek, WI 53154-1104 | 2012-04-02 |
| 1659680288 | Anastasia E. Vega | Counselor | 6416 S Howell Ave, Oak Creek, WI 53154-1104 | 2010-09-30 |
| 1942474747 | Kori J. Wiken | Counselor | 6416 S Howell Ave, Oak Creek, WI 53154-1104 | 2008-04-14 |
| 1609960574 | Jane Jaszewski | Marriage & Family Therapist | 6416 S Howell Ave, Oak Creek, WI 53154-1104 | 2006-10-03 |
| 1801817168 | Gregory Gaffke | Counselor | 6416 S Howell Ave, Oak Creek, WI 53154-1104 | 2006-07-22 |
| 1588684807 | Gregory Betlej | Counselor | 6416 S Howell Ave, Oak Creek, WI 53154-1104 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
| 1619512605 | Sharon Boushon | Technician | 642 E Pergola Place, Oak Creek, WI 53154 | 2019-11-13 |
| 1255991386 | Jodi Kruszka | Nurse Practitioner | 825 E Manitowoc Avenue, Oak Creek, WI 53154 | 2019-06-20 |
| 1184288896 | Thomas Carl Jonson | Durable Medical Equipment & Medical Supplies | 9036 S Carollton Dr., Oak Creek, WI 53154 | 2019-04-29 |
| 1982127577 | Zainab Saddiq | Optometrist | 8661 S. Howell Ave, 200, Oak Creek, WI 53154 | 2017-07-25 |
| 1649700980 | Froedtert & The Medical College of Wisconsin Community Physicians, Inc | Durable Medical Equipment & Medical Supplies | 7901 South 6th Street, Oak Creek, WI 53154 | 2017-06-19 |
| 1770969578 | Suhani Virparia | Pharmacist | 171 W. Town Square Way, Oak Creek, WI 53154 | 2015-08-04 |
| 1275919144 | Jessica Ford | Social Worker | 8825 South Howell Avenue, Suite 305, Oak Creek, WISCONSIN 53154 | 2015-08-03 |
| 1700269388 | Tarnit Singh Kapoor | Dentist | 8421 Howell Ave, Oak Creek, WI 53154 | 2015-07-01 |
| 1447656350 | Kiersten Kirking | Physical Therapist | 210 W. Raindbow Ridge Dr., 1207, Oak Creek, WI 53154 | 2014-11-05 |
| Find all providers in zip 53154 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194293092 | Natalie Josephine Minturn | Counselor | 8825 S Howell Ave, Oak Creek, WI 53154-3760 | 2018-11-08 |
| 1982198859 | Anna Boteva | Counselor | 6416 S Howell Ave, Oak Creek, WI 53154-1104 | 2018-06-14 |
| 1467728683 | Mary Harvey | Counselor | 6416 S Howell Ave, Oak Creek, WI 53154-1104 | 2012-04-02 |
| 1659680288 | Anastasia E. Vega | Counselor | 6416 S Howell Ave, Oak Creek, WI 53154-1104 | 2010-09-30 |
| 1942474747 | Kori J. Wiken | Counselor | 6416 S Howell Ave, Oak Creek, WI 53154-1104 | 2008-04-14 |
| 1801817168 | Gregory Gaffke | Counselor | 6416 S Howell Ave, Oak Creek, WI 53154-1104 | 2006-07-22 |
| 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.