TISHA DAWN SLEITER (NPI# 1760868939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760868939 |
| Entity Type | Individual |
| Full Name | TISHA DAWN SLEITER |
| Credential | MSW, APSW |
| Practice Address |
143 S Gibson St Medford WI 54451-1622 |
| Mailing Address |
1000 Main St Marathon WI 54448-8800 |
| Practice Telephone | 7157482121 |
| Practice Fax Number | 7157487595 |
| Mailing Telephone | 7153215444 |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2020-01-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 130572-121 | WI | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 130572-121 | WI | Behavioral Health & Social Service Providers |
| Street Address |
143 S GIBSON ST |
| City | MEDFORD |
| State | WI |
| Zip Code | 54451-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831100262 | Erik T Branstetter | Surgery | 143 S Gibson St, Medford, WI 54451-1622 | 2006-08-10 |
| 1174139869 | Angela E Colby | Nurse Practitioner | 143 S Gibson St, Medford, WI 54451-1622 | 2020-09-18 |
| 1457821258 | Nathania Adu | Nurse Practitioner | 143 S Gibson St, Medford, WI 54451 | 2018-12-05 |
| 1003297581 | Gregory Lee Werner | Physician Assistant | 143 S Gibson St, Medford, WI 54451-1622 | 2015-06-10 |
| 1275971780 | Memorial Health Center, Inc. | Clinic/Center | 143 S Gibson St, Medford, WI 54451-1622 | 2013-06-06 |
| 1437404811 | Glenda Kay Way | Nurse Practitioner | 143 S Gibson St, Medford, WI 54451-1622 | 2012-07-20 |
| 1003100033 | Kathy Lynne Obermann | Registered Nurse | 143 S Gibson St, Medford, WI 54451-1622 | 2011-06-07 |
| 1881905263 | Emily J Tracey | Physician Assistant | 143 S Gibson St, Medford, WI 54451-1622 | 2010-06-30 |
| 1154576189 | Lindsey Lucero | Registered Nurse | 143 S Gibson St, Medford, WI 54451-1622 | 2008-11-18 |
| 1346394640 | Linda Israel Murphy | Social Worker | 143 S Gibson St, Medford, WI 54451-1622 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710536321 | Bone & Joint Clinic S.c. | Durable Medical Equipment & Medical Supplies | 724 S. 8th St, Medford, WI 54451 | 2019-09-06 |
| 1215474671 | Heidi Marie Nernberger | Dental Hygienist | 124 S. Main Street, Medford, WI 54451 | 2017-01-24 |
| 1497152656 | Rachel E Nichols | Dental Hygienist | 124 South Main St, Medford, WI 54451 | 2014-12-03 |
| 1811305360 | Amanda Mosse | Social Worker | 10649 W Perkinstown Ave, Medford, WI 54451 | 2014-07-29 |
| 1891081113 | Debra Jeanne Zenner | Nurse Practitioner | 143 South Gibson St., Medford, WI 54451 | 2011-06-24 |
| 1033445036 | Greg George Schoofs II | Ophthalmology | N 4803 Wigwam Ave, Medford, WI 54451 | 2009-10-26 |
| 1558511295 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 111 S Gibson St, Medford, WI 54451 | 2008-09-30 |
| 1013132430 | Aspirus Medford Hospital & Clinics, Inc. | Pharmacy | 139 S Gibson St, Medford, WI 54451 | 2007-04-13 |
| 1356566707 | Peter G Kiefer | Pharmacist | 139 South Gibson St, Medford, WI 54451 | 2007-04-13 |
| 1851426753 | Steven Todd Dietzman | Specialist/Technologist | 103 South Gibson Street, Medford, WI 54451 | 2007-02-22 |
| Find all providers in zip 54451 | ||||
| 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 |
|---|---|---|---|---|
| 1114223302 | Marika P Mooyman | Marriage & Family Therapist | 1005 E Main St Bldg B, Medford, OR 97504-7448 | 2011-02-04 |
| 1891099842 | John Joseph Johnson | Marriage & Family Therapist | 107 E Main St Ste 29, Medford, OR 97501 | 2011-01-05 |
| 1326274192 | Tara Michelle Hurley | Marriage & Family Therapist | 11 Sagamore Ave, Medford, MA 02155-2107 | 2009-06-06 |
| 1013143403 | Dwight Henry Horch | Marriage & Family Therapist | 9 Holly Dr, Medford, NJ 08055-8810 | 2009-05-31 |
| 1336326826 | Patricia M. Brady-ciarcia | Marriage & Family Therapist | 16 Bradlee Rd, Third Floor, Medford, MA 02155-3111 | 2008-01-28 |
| 1417168121 | Gabriel Joel Mccoy | Marriage & Family Therapist | 1316 W Main St, Medford, OR 97501-2937 | 2007-05-24 |
| 1780894840 | Wellspring Counseling Center of Southern Oregon, LLC | Marriage & Family Therapist | 18 Portland Ave., Medford, OR 97504-7309 | 2007-05-23 |
| 1831309301 | James Sidney Stumbo | Marriage & Family Therapist | 3550 National Dr, Medford, OR 97504-4148 | 2007-05-23 |
| 1518173640 | Sallyann Roth | Marriage & Family Therapist | 137 Brooks St, Medford, MA 02155-2243 | 2007-05-15 |
| 1356467492 | Nicole Christine Ryan | Marriage & Family Therapist | 328 S Central Ave Ste 205, Medford, OR 97501-7274 | 2007-03-21 |
| Find all providers in MEDFORD | ||||
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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.