| C.a. Counseling & Consultants, Llc. | |
|
93 W Geneva St Williams Bay WI 53191-9518 | |
| (262) 607-6390 | |
| (262) 607-6387 |
| Full Name | C.a. Counseling & Consultants, Llc. |
|---|---|
| Speciality | Social Worker |
| Location | 93 W Geneva St, Williams Bay, Wisconsin |
| Authorized Official Name and Position | Robert B Campbell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2626076390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C.a. Counseling & Consultants, Llc. 93 W Geneva St P.o. Box 934 Williams Bay WI 53191-9518 Ph: (262) 607-6390 | C.a. Counseling & Consultants, Llc. 93 W Geneva St Williams Bay WI 53191-9518 Ph: (262) 607-6390 |
| NPI Number | 1548652241 |
|---|---|
| Provider Enumeration Date | 03/04/2015 |
| Last Update Date | 09/20/2016 |
| Medicare PECOS PAC ID | 9032424486 |
|---|---|
| Medicare Enrollment ID | O20150814013119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548652241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jacob B Austin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275866576 PECOS PAC ID: 4688809932 Enrollment ID: I20131023000459 |
| Provider Name | Jessica M Wriedt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982068219 PECOS PAC ID: 0143565697 Enrollment ID: I20190102003024 |
| Provider Name | Victoria D Mchugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003327974 PECOS PAC ID: 0042541021 Enrollment ID: I20191004001455 |
| Provider Name | Denice M Mock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275879223 PECOS PAC ID: 9032379045 Enrollment ID: I20191024000446 |
Kingme Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 Smythe Dr, Williams Bay, WI 53191 Phone: 262-729-2180 | |
Center For Change, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 93 W Geneva St, Suite 2e, Williams Bay, WI 53191 Phone: 262-607-2770 | |
Northland Neurology S.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 Elkhorn Rd, Williams Bay, WI 53191 Phone: 262-245-2600 Fax: 262-245-6600 |