| Tanner Dakota Simpson, | |
|
3505 N 124th St, Brookfield, WI 53005 | |
| (414) 431-4444 | |
| Not Available |
| Full Name | Tanner Dakota Simpson |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 2 Years |
| Location | 3505 N 124th St, Brookfield, 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 |
|---|---|---|---|
| 1083261929 | NPI | - | NPPES |
| 100279284 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 12496-125 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cornerstone Counseling Services Inc | 1456256023 | 338 |
| Entity Name | Cornerstone Counseling Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033127246 PECOS PAC ID: 1456256023 Enrollment ID: O20031205000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanner Dakota Simpson, 3505 N 124th St, Brookfield, WI 53005-2489 Ph: Not Available | Tanner Dakota Simpson, 3505 N 124th St, Brookfield, WI 53005 Ph: (414) 431-4444 |
Brittany Marie Pichette, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005 Phone: 262-999-3495 |
Karlie Rose Bellante, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3505 N 124th St Uppr, Brookfield, WI 53005 Phone: 414-431-4444 Fax: 414-431-0858 |
Ms. Patricia Michelle Carrington, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005 Phone: 262-999-3495 Fax: 262-821-6180 |
Kristen Stodola, Counselor Medicare: Accepting Medicare Assignments Practice Location: 17100 W North Ave, Brookfield, WI 53005 Phone: 262-244-6177 |
Ann Elizabeth Brunner, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16655 W Bluemound Rd Ste 330, Brookfield, WI 53005 Phone: 262-786-9184 Fax: 262-786-1906 |
Ana G Mendoza, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15400 W Capitol Dr Ste 105, Brookfield, WI 53005 Phone: 414-367-9155 |
Emily Kathryn Olson, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 17100 W North Ave Ste 300, Brookfield, WI 53005 Phone: 262-999-3495 |