| Mrs Angela J Kuffel, LPC | |
|
Professional Services Group, 2108-63 Street, Kenosha, WI 53143-4454 | |
| (262) 652-2406 | |
| (262) 652-2408 |
| Full Name | Mrs Angela J Kuffel |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | Professional Services Group, Kenosha, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053787788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC.0014122 (Colorado) | Secondary |
| 101YP2500X | Counselor - Professional | 6954-125 (Wisconsin) | Primary |
| Entity Name | Professional Services Group Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619024262 PECOS PAC ID: 8224296454 Enrollment ID: O20120220000742 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Angela J Kuffel, LPC Professional Services Group, 2108-63 Street, Kenosha, WI 53143-4454 Ph: (262) 652-2406 | Mrs Angela J Kuffel, LPC Professional Services Group, 2108-63 Street, Kenosha, WI 53143-4454 Ph: (262) 652-2406 |
La Shanda Tolefree, BA, MS Counselor Medicare: Accepting Medicare Assignments Practice Location: 3536 52nd St, Kenosha, WI 53144 Phone: 262-842-0538 Fax: 262-842-0539 | |
Laura Williams, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3536 52nd St, Kenosha, WI 53144 Phone: 262-842-0538 | |
Ann M Grossman, MS, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6321 23rd Ave, Kenosha, WI 53143 Phone: 414-455-3879 Fax: 866-719-3024 | |
Jami Lynn Pomeroy, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1400 75th St, Kenosha, WI 53143 Phone: 262-909-6008 | |
Madeline Marie Beth, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4600 Green Bay Rd, Kenosha, WI 53144 Phone: 708-738-6077 | |
Aislynn Nall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6121 Green Bay Rd Ste 200, Kenosha, WI 53142 Phone: 262-864-1141 Fax: 262-351-0132 | |
Monica Christian, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4103 60th St, Kenosha, WI 53144 Phone: 262-452-3684 Fax: 262-330-1475 |