COUNTY OF MARINETTE (NPI# 1972672665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972672665 |
| Entity Type | Organization |
| Organization Name | COUNTY OF MARINETTE |
| Other Organization Name | MARINETTE COUNTY HEALTH AND HUMAN SERVICES |
| Practice Address |
2500 Hall Ave Suite B Marinette WI 54143 |
| Practice Telephone | 7157327700 |
| Practice Fax Number | 7157327766 |
| Mailing Telephone | 7157327700 |
| Mailing Fax Number | 7157327766 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2010-03-19 |
| Authorized Official Name | MR. ROBIN ELSNER (HEALTH AND HUMAN SERVICES DIRECTOR) |
| Authorized Official Telephone | 7157327700 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43006600 | 05 |
| Other Name | Type Code |
|---|---|
| Marinette County Health and Human Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205999653 | County of Marinette | Public Health or Welfare | 2500 Hall Avenue, Suite C, Marinette, WI 54143 | 2006-12-18 |
| 1154490845 | County of Marinette | Technician | 2500 Hall Ave Suite B, Marinette, WI 54143 | 2006-11-07 |
| 1568531267 | County of Marinette | Clinic/Center | 2500 Hall Ave Suite C, Marinette, WI 54143 | 2006-11-07 |
| 1306339544 | County of Marinette | In Home Supportive Care | 2500 Hall Avenue, Suite B, Marinette, WI 54143 | 2018-06-12 |
| 1215211404 | County of Marinette | Community/Behavioral Health | 2500 Hall Ave Ste B, Marinette, WI 54143-1656 | 2011-10-05 |
| 1477622173 | County of Marinette | Clinic/Center | 2500 Hall Ave Suite C, Marinette, WI 54143 | 2006-11-07 |
| 1063581759 | County of Marinette | Clinic/Center | 2500 Hall Ave Suite B, Marinette, WI 54143 | 2006-11-07 |
| 1881763571 | County of Marinette | Day Training, Developmentally Disabled Services | 2500 Hall Ave, Suite B, Marinette, WI 54143 | 2006-11-07 |
| 1699844381 | County of Marinette | Case Management | 2500 Hall Ave, Suite B, Marinette, WI 54143 | 2006-11-07 |
| 1508935297 | County of Marinette | Counselor | 2500 Hall Ave, Suite B, Marinette, WI 54143 | 2006-11-07 |
| Street Address |
2500 HALL AVE SUITE B |
| City | MARINETTE |
| State | WI |
| Zip Code | 54143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427030857 | Robert Kevin Lafountain | Social Worker | 2500 Hall Ave, Marinette, WI 54143-1604 | 2005-11-21 |
| 1053923664 | Ashley Primley | Registered Nurse | 2500 Hall Ave, Marinette, WI 54143-1655 | 2020-08-17 |
| 1407467459 | Mary Hiebel | Behavior Technician | 2500 Hall Ave, Marinette, WI 54143-1655 | 2020-08-13 |
| 1508483637 | Sarah Hilz | Behavior Technician | 2500 Hall Ave, Marinette, WI 54143-1655 | 2020-07-06 |
| 1063053494 | Ashley Yungwirth | Social Worker | 2500 Hall Ave, Marinette, WI 54143-1655 | 2019-10-07 |
| 1760962351 | Kasey Ledesma | Case Manager/Care Coordinator | 2500 Hall Ave, Marinette, WI 54143-1655 | 2018-08-14 |
| 1265928402 | Steven Hahn | Counselor | 2500 Hall Ave, Marinette, WI 54143-1655 | 2018-07-10 |
| 1154823482 | Ashley Schutz | Social Worker | 2500 Hall Ave, Marinette, WI 54143-1655 | 2018-03-02 |
| 1922507862 | Sarah L Frye | Counselor | 2500 Hall Ave, Marinette, WI 54143-1655 | 2018-02-06 |
| 1912412669 | Anthony Tickler | Social Worker | 2500 Hall Ave, Marinette, WI 54143-1655 | 2017-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669966750 | Allie Parthie | Dentist | 1420 University Dr, Marinette, WI 54143 | 2018-06-21 |
| 1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
| 1538698618 | Meghan M Russell | Nurse Practitioner | 4061 Old Peshtigo Road, Marinette, WI 54143 | 2017-06-12 |
| 1801279435 | Stephanie Miller | Licensed Practical Nurse | W1902 State Hwy 64, Marinette, WI 54143 | 2015-07-01 |
| 1417298704 | Danielle Risner | Occupational Therapist | Luther Home 831 Pine Beach Rd, Marinette, WI 54143 | 2013-03-12 |
| 1053631903 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | W 716 County B, Ste B, Marinette, WI 54143 | 2010-06-02 |
| 1417105545 | Forefront Dermatology, S.c. | Dermatology | 3515 Murray Street, Marinette, WI 54143 | 2008-09-03 |
| 1245493352 | Judith M Ribbens | Counselor | 1557 Cleveland Ave, Marinette, WI 54143 | 2008-07-08 |
| 1538338926 | Charlene Mae Miller | Licensed Practical Nurse | 1126 Daggett, Marinette, WI 54143 | 2008-02-29 |
| 1104025519 | James Alan Boren | Family Medicine | 5926 Highway 41, Stephenson, MI 54143 | 2007-07-16 |
| Find all providers in zip 54143 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881763571 | County of Marinette | Day Training, Developmentally Disabled Services | 2500 Hall Ave, Suite B, Marinette, WI 54143 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346863180 | Vitality Youth Services, LLC | Day Training, Developmentally Disabled Services | 726 12th Ave, Monroe, WI 53566-1435 | 2020-05-27 |
| 1568096394 | Lisa Roberta Meyer | Day Training, Developmentally Disabled Services | 325 S. Military Rd., Stockbridge, WI 53088 | 2020-03-02 |
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1144797739 | Able Residential & Community Options, LLC | Day Training, Developmentally Disabled Services | 909 S 29th St, Manitowoc, WI 54220-4461 | 2018-11-01 |
| 1902386055 | Islands of Brilliance | Day Training, Developmentally Disabled Services | 415 E Menomonee St, Milwaukee, WI 53202-6117 | 2018-08-17 |
| 1790275378 | United Communities Adult Daycare Service Inc | Day Training, Developmentally Disabled Services | 5330 W Lisbon Ave, Milwaukee, WI 53210-2751 | 2018-05-18 |
| 1649778861 | Easter Seals Southeast Wisconsin | Day Training, Developmentally Disabled Services | 7101 53rd St, Kenosha, WI 53144-7848 | 2018-01-23 |
| 1912448283 | Easter Seals Southeast Wisconsin | Day Training, Developmentally Disabled Services | 1120 Baxter St, Waukesha, WI 53186-3884 | 2017-03-20 |
| 1053852079 | Easter Seals Southeast Wisconsin | Day Training, Developmentally Disabled Services | 201 Wisconsin Ave, Waukesha, WI 53186-4926 | 2017-03-09 |
| 1437694338 | Bekus Adult Day Program LLC | Day Training, Developmentally Disabled Services | 4425 N 63rd St, Milwaukee, WI 53218-5548 | 2016-12-31 |
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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.