| Christopher L Stanaszak, LPC | |
|
1095 Midway Rd, Menasha, WI 54952-1115 | |
| (920) 720-2300 | |
| (920) 720-3719 |
| Full Name | Christopher L Stanaszak |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1095 Midway Rd, Menasha, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114095148 | NPI | - | NPPES |
| 40937600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3300-125 (Wisconsin) | Primary |
| 104100000X | Social Worker | 3300-125 (Wisconsin) | Secondary |
| Entity Name | Optum Behavioral Care Of Colorado, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487424826 PECOS PAC ID: 0941648463 Enrollment ID: O20240429000918 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher L Stanaszak, LPC 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (920) 830-5900 | Christopher L Stanaszak, LPC 1095 Midway Rd, Menasha, WI 54952-1115 Ph: (920) 720-2300 |
Mr. Michael G. Frost, RADCI Counselor Medicare: Medicare Enrolled Practice Location: 1201 Tuckaway Ln, Menasha, WI 54952 Phone: 920-733-4443 Fax: 920-733-4796 | |
Darlene Leary, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300 | |
Lisa Bredael, Counselor Medicare: Medicare Enrolled Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300 | |
Lynne Drews, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300 | |
Shauna S Vanden Hoogen, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-3700 | |
Amber Leigh Greuel, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300 | |
Sergio Guerrero, LPC-IT Counselor Medicare: Medicare Enrolled Practice Location: 1478 Kenwood Dr Ste 1, Menasha, WI 54952 Phone: 920-886-9319 |