| Chad B Taylor, LPC | |
|
2620 Stewart Ave Ste 310, Wausau, WI 54401-4162 | |
| (715) 848-0525 | |
| (715) 848-8665 |
| Full Name | Chad B Taylor |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 11 Years |
| Location | 2620 Stewart Ave Ste 310, Wausau, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407254840 | NPI | - | NPPES |
| 100100131 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 7168-125 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Charis Counseling Llc | 1456244276 | 12 |
| Cornerstone Clinic Llc | 0042645046 | 12 |
| Entity Name | Cornerstone Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861037293 PECOS PAC ID: 0042645046 Enrollment ID: O20200122000859 |
| Mailing Address | Practice Location Address |
|---|---|
| Chad B Taylor, LPC 2620 Stewart Ave Ste 310, Wausau, WI 54401-4162 Ph: (715) 848-0525 | Chad B Taylor, LPC 2620 Stewart Ave Ste 310, Wausau, WI 54401-4162 Ph: (715) 848-0525 |
Nicole M. Borgh, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1108 S 13th Ave, Wausau, WI 54401 Phone: 715-432-5226 | |
Corrie Vonfeldt, APSW-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 Marshall St Ste A, Wausau, WI 54403 Phone: 715-848-4551 | |
Karen Slattery, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
James Hahn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 | |
Jennifer Hearn, LPC, SAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
Ann Marie Dixon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N 3rd St # 208-34, Wausau, WI 54403 Phone: 414-306-0555 | |
Dakota J Kaiser, PHD Counselor Medicare: Accepting Medicare Assignments Practice Location: 100 N 72nd Ave, Wausau, WI 54401 Phone: 715-301-0267 Fax: 844-444-0672 |