MR. JEFFREY CZEBOTAR (NPI# 1952506644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952506644 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY CZEBOTAR |
| Credential | LPC, SAC |
| Practice Address |
1102 S Park St Madison WI 53715-1708 |
| Mailing Address |
5811 Williamsburg Way Fitchburg WI 53719-1519 |
| Practice Telephone | 6082828270 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2015-02-03 |
| 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) |
15154-131 | WI | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
3682-125 | WI | Behavioral Health & Social Service Providers |
| Street Address |
1102 S PARK ST |
| City | MADISON |
| State | WI |
| Zip Code | 53715-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609878453 | Cheryl Roets | Psychologist | 1102 S Park St, Madison, WI 53715-1708 | 2005-08-11 |
| 1679102537 | Caroline Hensley | Student in an Organized Health Care Education/Training Program | 1102 S Park St, Madison, WI 53715-1708 | 2020-04-03 |
| 1720617624 | Justin Temple | Student in an Organized Health Care Education/Training Program | 1102 S Park St, Madison, WI 53715-1708 | 2020-04-03 |
| 1770112658 | Ana Pearson | Student in an Organized Health Care Education/Training Program | 1102 S Park St, Madison, WI 53715-1708 | 2020-04-03 |
| 1669001616 | Estefan Beltran | Student in an Organized Health Care Education/Training Program | 1102 S Park St, Madison, WI 53715-1708 | 2020-04-02 |
| 1003378886 | Melanie A Hellrood | Student in an Organized Health Care Education/Training Program | 1102 S Park St, Madison, WI 53715-1708 | 2019-04-02 |
| 1831651603 | Anne M Drolet | Student in an Organized Health Care Education/Training Program | 1102 S Park St, Madison, WI 53715-1708 | 2019-04-02 |
| 1568924363 | Morgan S White | Student in an Organized Health Care Education/Training Program | 1102 S Park St, Madison, WI 53715-1708 | 2019-04-02 |
| 1619439403 | Jeremiah J Shaw | Student in an Organized Health Care Education/Training Program | 1102 S Park St, Madison, WI 53715-1708 | 2019-04-02 |
| 1912486531 | Rachael Marie Finn | Physician Assistant | 1102 S Park St, Madison, WI 53715 | 2018-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
| 1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
| 1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
| 1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
| 1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
| 1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
| 1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
| 1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
| 1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
| 1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
| Find all providers in zip 53715 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578770 | Sunshine Holstein | Counselor | 467 Main St Fl 4, Madison, WV 25130-2200 | 2020-11-05 |
| 1619589538 | Pamela Peoples | Counselor | 1888 Main St Ste C-189, Madison, MS 39110-6337 | 2020-08-21 |
| 1487278404 | Gillian Vandien | Counselor | 2701 International Ln Ste 205, Madison, WI 53704-3126 | 2020-06-05 |
| 1134740210 | Amy C Nicholson | Counselor | 720 Hill St Ste 230, Madison, WI 53705-3539 | 2020-04-30 |
| 1902435308 | Jeffrey Joseph Bopp | Counselor | 518 Diving Hawk Trl, Madison, WI 53713-3380 | 2020-04-07 |
| 1881222313 | Christopher Gabriel Krell | Counselor | 133 Se Macon St, Madison, FL 32340-2986 | 2020-03-30 |
| 1174153381 | Kristine Fernerud | Counselor | 77 Legend Hill Rd, Madison, CT 06443-1877 | 2020-01-16 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1124661996 | Lillian A Carroll | Counselor | 502 Pflaum Rd, Madison, WI 53716-2163 | 2019-10-23 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| Find all providers in MADISON | ||||
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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.