MS. HEATHER LYNN MUSHRUSH (NPI# 1770938680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770938680 |
| Entity Type | Individual |
| Full Name | MS. HEATHER LYNN MUSHRUSH |
| Credential | LPCIT, SAC-IT |
| Practice Address |
1000 N Lynndale Dr Suite C Appleton WI 54914-3056 |
| Practice Telephone | 9207359010 |
| Practice Fax Number | 9207359050 |
| Mailing Telephone | 9207359010 |
| Mailing Fax Number | 9207359050 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
17766-130 | WI | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
3163-226 | WI | Behavioral Health & Social Service Providers |
| Street Address |
1000 N LYNNDALE DR SUITE C |
| City | APPLETON |
| State | WI |
| Zip Code | 54914-3056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194945378 | Options Treatment Programs, Inc | Clinic/Center | 1000 N Lynndale Dr, Suite C, Appleton, WI 54914-3057 | 2007-04-27 |
| 1538609813 | Kaitlyn Krohn | Counselor | 1000 N Lynndale Dr, C, Appleton, WI 54914-3056 | 2017-03-06 |
| 1508308099 | Teresa Gross | Counselor | 1000 N Lynndale Dr, Suite C, Appleton, WI 54914-3056 | 2016-11-15 |
| 1306215892 | Jessica Schultz | Counselor | 1000 N Lynndale Dr, Suite C, Appleton, WI 54914-3056 | 2015-09-15 |
| 1215318613 | Jackie Maechtle | Counselor | 1000 N Lynndale Dr, Suite C, Appleton, WI 54914-3056 | 2015-06-11 |
| 1558792812 | Brandon Boe | Counselor | 1000 N Lynndale Dr, Suite C, Appleton, WI 54914-3056 | 2013-12-11 |
| 1831441039 | Jerome Mutchie | Counselor | 1000 N Lynndale Dr, C, Appleton, WI 54914-3057 | 2012-10-11 |
| 1548496755 | Christy L Webster | Counselor | 1000 N Lynndale Dr, Suite C, Appleton, WI 54914-3056 | 2009-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1568099729 | Access Elevator, Inc. | Contractor | 1314 W. College Ave, Appleton, WI 54914 | 2020-03-26 |
| 1124677885 | Sharon Darla Cornell | Technician | 3117 N. Mistwood Lane, Appleton, WI 54914 | 2019-09-05 |
| 1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
| 1356863252 | Uvanta Pharmacy LLC | Pharmacy | 1050 S Grider St, Suite C, Appleton, WI 54914 | 2017-07-12 |
| 1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
| 1609269489 | Shane Scott Urban | Social Worker | 444 N. Westhill Blvd., Appleton, WI 54914 | 2015-03-18 |
| 1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
| 1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
| 1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
| Find all providers in zip 54914 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962633 | Amy Felice Woolf | Counselor | 6 Northbreeze Cir, Appleton, WI 54911-1247 | 2020-04-28 |
| 1649819145 | Ellen J. Lutz | Counselor | 2031 E Calumet St., Appleton, WI 54915-4742 | 2019-12-31 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1487124848 | Kathleen N Huskey | Counselor | 516 E Wisconsin Ave, Appleton, WI 54911-4863 | 2018-11-28 |
| 1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
| 1972915700 | Adalia Maritza Jansen | Counselor | 3701 E Evergreen Dr Ste 260, Appleton, WI 54913-7402 | 2014-05-28 |
| 1275809352 | A Single Step, LLC | Counselor | 821 E 1st Ave Ste 5, Appleton, WI 54911-1586 | 2012-03-22 |
| 1811216484 | Jodi Lynn Huebner | Counselor | 1045 N Lynndale Dr Ste 2d, Appleton, WI 54914-3048 | 2010-05-21 |
| 1316186141 | Kate Mary Mccarthy | Counselor | 3003 N Richmond St, Appleton, WI 54911-1148 | 2009-02-18 |
| 1144487620 | Evie Kalyani Lafountain | Counselor | 5506 Michaels Dr Apt 1, Appleton, WI 54913-8648 | 2008-05-21 |
| Find all providers in APPLETON | ||||
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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.