PASSAGEWAY, INC. FRS-TR (NPI# 1821398736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821398736 |
| Entity Type | Organization |
| Organization Name | PASSAGEWAY, INC. FRS-TR |
| Practice Address |
3246 W Rollingwood Dr Janesville WI 53545-9030 |
| Practice Telephone | 6085635633 |
| Practice Fax Number | 6085634122 |
| Mailing Telephone | 6085635633 |
| Mailing Fax Number | 6085634122 |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2017-01-25 |
| Authorized Official Name | KATHLEEN M MILLER (PRESIDENT/ PROVIDER) |
| Authorized Official Telephone | 6085635633 |
| Authorized Official Credential | LPC CSAC ICS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15139-132 | WI | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15375-135 | WI | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
2864-125 | WI | Behavioral Health & Social Service Providers |
| Street Address |
3246 W ROLLINGWOOD DR |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53545-9030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730743816 | Wisteria Lyn Gunnink | Social Worker | 3530 N County Highway F, Janesville, WI 53545 | 2019-04-24 |
| 1730601295 | Selma Mohammedi | Dentist | 1260 Milton Ave Ste 140-150, Janesville, WI 53545 | 2017-07-16 |
| 1205357472 | Andrea Jayne Thompson | Physical Therapist | 3418 N Parker Dr., Janesville, WI 53545 | 2017-06-28 |
| 1639549983 | Sylvia Andrus | Physical Therapy Assistant | 3400 N Country Highway F, Janesville, WI 53545 | 2015-09-30 |
| 1518372564 | Kimberly Ann Bishop | Registered Nurse | 32 E. Racine Street, Suite 150, Janesville, WI 53545 | 2014-06-29 |
| 1679998314 | Quirt Family Dentistry | Dentist | 2201 Humes Road Suite 150, Janesville, WI 53545 | 2014-03-04 |
| 1104163740 | Sarah J Fredricks | Licensed Practical Nurse | 1406 Holiday Drive, Janesville, WI 53545 | 2013-01-15 |
| 1659629335 | Parvin Mesbah | Pharmacist | 2017 Old Humes Road, T-0809, Janesville, WI 53545 | 2012-08-28 |
| 1962797118 | Tiffany Schmidt | Pharmacist | 2017 Humes Road, T-0809, Janesv Ille, WI 53545 | 2011-06-16 |
| 1174817795 | Megan Steiner | Dentist | 1504 Creston Park Drive, Janesville, WI 53545 | 2011-05-31 |
| Find all providers in zip 53545 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366911489 | Latoya Christina Anderson | Counselor | 1818 Pershing Pl, Janesville, WI 53546 | 2018-11-19 |
| 1467909630 | Tige Pollard | Counselor | 2012 Mole Ave, Janesville, WI 53548-1435 | 2016-09-06 |
| 1437451945 | Jocelyn Marie Mallon | Counselor | 17 S River St, Suite 254, Janesville, WI 53548-3860 | 2010-12-03 |
| 1770777898 | Catherine Samb | Counselor | 3530 N Cty Trk Hwy F, Janesville, WI 53547-1649 | 2007-08-31 |
| 1699770560 | Todd Allen Noggle | Counselor | 20 E Milwaukee St, Ste 210, Janesville, WI 53545-3061 | 2005-06-16 |
| 1548874456 | Amber J Wroblewski | Counselor | 17 S River St Ste 254, Janesville, WI 53548-3863 | 2020-09-08 |
| 1952922726 | Michelle Huczek | Counselor | 111 N Main St Ste 100, Janesville, WI 53545-3072 | 2020-05-02 |
| 1578108569 | Tamara Macneal | Counselor | 23 N Main St, Janesville, WI 53545-3039 | 2019-11-13 |
| 1003463589 | Amanda Mckeaton | Counselor | 17 S River St Ste 254, Janesville, WI 53548-3863 | 2019-08-20 |
| 1265916449 | Michelle Casey-schmidt | Counselor | 17 S River St Ste 254, Janesville, WI 53548-3863 | 2018-09-24 |
| Find all providers in JANESVILLE | ||||
| City | JANESVILLE |
| Zip Code | 53545 |
Please comment or provide details below to improve the information on PASSAGEWAY, INC. FRS-TR.
| 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.