| James R Schroeder, LPC | |
|
1205 Province Ter, Menasha, WI 54952-7017 | |
| (920) 886-9319 | |
| Not Available |
| Full Name | James R Schroeder |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1205 Province Ter, 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 |
|---|---|---|---|
| 1982381547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 7509-226 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 11685 (Wisconsin) | Primary |
| Entity Name | Nystrom & Associates Counseling Wi Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659977866 PECOS PAC ID: 1052729464 Enrollment ID: O20210426000171 |
| Mailing Address | Practice Location Address |
|---|---|
| James R Schroeder, LPC 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 Ph: (651) 628-9566 | James R Schroeder, LPC 1205 Province Ter, Menasha, WI 54952-7017 Ph: (920) 886-9319 |
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 |