MR. RANDALL P. SPANGLE (NPI# 1871613943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871613943 |
| Entity Type | Individual |
| Full Name | MR. RANDALL P. SPANGLE |
| Credential | CSAC, ICS |
| Practice Address |
502 Main St W Ste 305 Ashland WI 54806-1512 |
| Mailing Address |
621 18th Ave W Ashland WI 54806 |
| Practice Telephone | 7156825207 |
| Practice Fax Number | 7156825209 |
| Mailing Telephone | 7156828015 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
72-132 | WI | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
7044-135 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39317500 | 05 |
| Street Address |
502 MAIN ST W STE 305 |
| City | ASHLAND |
| State | WI |
| Zip Code | 54806-1512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396145009 | Amber Rusch | Counselor | 502 Main St W Ste 305, Ashland, WI 54806-1579 | 2014-08-29 |
| 1023138112 | Lori Anne Decarlo-kienitz | Counselor | 502 Main St W Ste 305, Ashland, WI 54806-1512 | 2007-03-30 |
| 1336269422 | Kenneth L. Buckwheat | Counselor | 502 Main St W Ste 305, Ashland, WI 54806-1512 | 2007-03-30 |
| 1952421190 | Ashland Area Council On Alcoholism and Other Drug Abuse, Inc. | Voluntary or Charitable | 502 Main St W Ste 305, Ashland, WI 54806-1512 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992236525 | Robin Jurgensen | Counselor | 1619 W Third Street, Ashland, WI 54806 | 2017-03-24 |
| 1922479195 | Alexa M Honstad | Registered Nurse | Memorial Medical Center, Inc, 1615 Maple Lane, Ashland, WI 54806 | 2015-10-14 |
| 1982032728 | Noel Hong | Pharmacist | 1800 Us Highway 2, Ashland, WI 54806 | 2013-10-14 |
| 1588909402 | Kelli Danielle Culver | Registered Nurse | 216 3rd St W Ste 201, Ashland, WI 54806 | 2012-12-04 |
| 1114191756 | Karen Keyes | Occupational Therapist | 1635 Maple Lane, Behavioral Health Services, Ashland, WI 54806 | 2008-04-15 |
| 1174645204 | Michael Allyn Turgeon | Social Worker | 517 Beaser Avenue, Ashland, WI 54806 | 2007-04-06 |
| 1770669269 | Laura Anton Ia Nitsche | Speech-Language Pathologist | 618 Beaser Avenue, Ashland, WI 54806 | 2006-10-27 |
| 1104915222 | Patrick Alan Hickman | Chiropractor | 400 East Lakeshore Drive, Ashland, WI 54806 | 2006-10-12 |
| 1386732113 | Janet Lee Sternat | Physical Therapist | 618 Beaser Ave, Cesa #12, Ashland, WI 54806 | 2006-10-10 |
| 1295743193 | Ashland Dental Clinic Inc | Dentist | 300 9th Ave W, Ashland, WI 54806 | 2006-08-04 |
| Find all providers in zip 54806 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861923484 | Lucie Scheuer | Counselor | 66 Crocker St, Ashland, OR 97520-8786 | 2017-03-24 |
| 1316396724 | Lori Wetzel | Counselor | 3118 Main St, Ashland, PA 17921-9433 | 2016-06-07 |
| 1285097204 | Krystina Carnahan | Counselor | 326 Long St, Ashland, KY 41101-2490 | 2016-03-29 |
| 1669880423 | Michelle Moore | Counselor | 302 E Hersey St Ste 8, Ashland, OR 97520-1200 | 2014-07-24 |
| 1134543226 | Lonnie Clark | Counselor | 695 Mistletoe Rd Ste H, Ashland, OR 97520-9552 | 2014-02-10 |
| 1255752697 | Kolpia Counseling Service | Counselor | 302 E Hersey St Ste 1, Ashland, OR 97520-1200 | 2014-01-03 |
| 1306184999 | Michael Hottman | Counselor | 12390 Starting Gate Way, Ashland, VA 23005-3003 | 2013-01-17 |
| 1821357518 | Charles C Vaughn | Counselor | 1526 St. Rt. 603, Ashland, OH 44805 | 2012-05-15 |
| 1982998803 | Lisa M Goodan | Counselor | 700 Wheatley Rd, Ashland, KY 41101-2348 | 2011-06-08 |
| 1760575500 | Kolpia Counseling Services Inc | Counselor | 611 Siskiyou Blvd, Suite 8, Ashland, OR 97520-2151 | 2006-10-02 |
| Find all providers in ASHLAND | ||||
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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.