JILL BLEY KLINK (NPI# 1891832283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891832283 |
Entity Type | Individual |
Full Name | JILL BLEY KLINK |
Credential | LPC |
Practice Address |
6980 N Port Washington Rd #202 Milwaukee WI 53217-3900 |
Mailing Address |
224 Birch Ln Hartford WI 53027-1717 |
Practice Telephone | 4143517100 |
Mailing Telephone | 2626737034 |
Enumeration Date | 2007-02-01 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
2788-125 | WI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 39789600 | 05 |
Street Address |
6980 N PORT WASHINGTON RD #202 |
City | MILWAUKEE |
State | WI |
Zip Code | 53217-3900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952325904 | Rina A Patel | Psychiatry & Neurology | 6980 N Port Washington Rd, Suite 202, Milwaukee, WI 53217-3900 | 2006-07-26 |
1922473065 | Carol Lynn Brown I | Psychologist | 6980 N Port Washington Rd, Milwaukee, WI 53217-3900 | 2015-12-01 |
1245619907 | Tracy C Keller | Counselor | 6980 N Port Washington Rd, Ste 202, Milwaukee, WI 53217 | 2015-05-27 |
1316213929 | Andrew Devera Ronquillo | Counselor | 6980 N Port Washington Rd, Suite 202, Milwaukee, WI 53217-3900 | 2012-03-28 |
1538308580 | Andrea Lynne Knuth | Counselor | 6980 N Port Washington Rd, Suite 202, Milwaukee, WI 53217-3900 | 2009-02-16 |
1255598140 | Stella M Mahaga | Nurse Practitioner | 6980 N Port Washington Rd, Suite 202, Milwaukee, WI 53217 | 2008-05-19 |
1982874434 | Victoria J Pfeifer | Psychologist | 6980 N Port Washington Rd, #202, Milwaukee, WI 53217-3900 | 2008-03-11 |
1598953879 | Ann M Dolan | Social Worker | 6980 N Port Washington Rd, #202, Milwaukee, WI 53217-3900 | 2007-10-11 |
1689775348 | Dennis D. Kozel | Psychiatry & Neurology | 6980 N Port Washington Rd, Milwaukee, WI 53217-3900 | 2006-09-26 |
1639286503 | James A Williams | Social Worker | 6980 N Port Washington Rd, #202, Milwaukee, WI 53217-3921 | 2006-08-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
Find all providers in zip 53217 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508475963 | Anna Banwell | Counselor | 710 W Historic Mitchell St Apt 703, Milwaukee, WI 53204-3559 | 2020-07-30 |
1225658826 | Callie Barfield | Counselor | 9096 N Tennyson Dr, Milwaukee, WI 53217-1967 | 2020-04-23 |
1043849698 | Amanda Joann Degner | Counselor | 329 W National Ave Apt 2, Milwaukee, WI 53204-1702 | 2020-04-06 |
1467092320 | Christina Manolatos | Counselor | 3921 N Humboldt Blvd Apt 801, Milwaukee, WI 53212-1365 | 2020-01-08 |
1780235267 | Toni W Pharm | Counselor | 8018 W Capitol Dr Ste 206, Milwaukee, WI 53222-1906 | 2019-09-25 |
1407417983 | Damira Grady | Counselor | 11303 W Appleton Ln, Milwaukee, WI 53225-1200 | 2019-06-25 |
1265091664 | Drew David Dryssen | Counselor | 8800 W Bluemound Rd, Milwaukee, WI 53226-4626 | 2019-06-10 |
1013574409 | Patricia Michelle Carrington | Counselor | 1409 E Capitol Dr Ste 202, Milwaukee, WI 53211-1959 | 2019-05-22 |
1730647959 | Andrea Renee Zulkowski | Counselor | 3732 W Wisconsin Ave Ste 320, Milwaukee, WI 53208-3166 | 2019-03-06 |
1831662063 | Svenja Michela Rauchstaedt-schneider | Counselor | 5719 W Fountain Ave, Milwaukee, WI 53223-4227 | 2019-01-10 |
Find all providers in MILWAUKEE |
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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.