| Lifestance Health | |
|
16535 W Bluemound Rd Suite 200 Brookfield WI 53005-5936 | |
| (262) 789-1191 | |
| (262) 821-6180 |
| Full Name | Lifestance Health |
|---|---|
| Speciality | Counselor |
| Location | 16535 W Bluemound Rd, Brookfield, Wisconsin |
| Authorized Official Name and Position | Ryan Pardo (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 4252798500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestance Health 16535 W Bluemound Rd Suite 200 Brookfield WI 53005-5936 Ph: (262) 789-1191 | Lifestance Health 16535 W Bluemound Rd Suite 200 Brookfield WI 53005-5936 Ph: (262) 789-1191 |
| NPI Number | 1033127246 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 09/29/2023 |
| Certification Date | 09/29/2023 |
| Medicare PECOS PAC ID | 1456256023 |
|---|---|
| Medicare Enrollment ID | O20031205000446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033127246 | NPI | - | NPPES |
| 42170300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1237 (Wisconsin) | Secondary |
| 101YM0800X | Counselor - Mental Health | 1237 (Wisconsin) | Primary |
| Provider Name | Steven W Petrie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437266830 PECOS PAC ID: 1759288913 Enrollment ID: I20031216000390 |
| Provider Name | David E Drapes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477562460 PECOS PAC ID: 6709779184 Enrollment ID: I20040209000160 |
| Provider Name | Bruce A Semon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114020773 PECOS PAC ID: 3971498866 Enrollment ID: I20040219000202 |
| Provider Name | Mary K Schwantes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770667248 PECOS PAC ID: 9739084328 Enrollment ID: I20040526001401 |
| Provider Name | Sandra M Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487744918 PECOS PAC ID: 9133100985 Enrollment ID: I20040527000105 |
| Provider Name | Lauri Lowenbraun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649288036 PECOS PAC ID: 0143201905 Enrollment ID: I20040527000188 |
| Provider Name | Janice M Bourke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780767293 PECOS PAC ID: 9032179940 Enrollment ID: I20041014001125 |
| Provider Name | Julie A Hester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730261694 PECOS PAC ID: 1951362094 Enrollment ID: I20041022000261 |
| Provider Name | Jane M Casseus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972519155 PECOS PAC ID: 7416918479 Enrollment ID: I20041022000507 |
| Provider Name | Allan J Luck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255373015 PECOS PAC ID: 1658336698 Enrollment ID: I20041201000428 |
| Provider Name | Sharon S Fedderly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619064441 PECOS PAC ID: 7113985367 Enrollment ID: I20041221000033 |
| Provider Name | Lura M Asby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407872567 PECOS PAC ID: 3375593221 Enrollment ID: I20050127000817 |
| Provider Name | Rita J Brafford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700992708 PECOS PAC ID: 1153360193 Enrollment ID: I20050428000560 |
| Provider Name | Damon W Buckett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205824604 PECOS PAC ID: 8123053170 Enrollment ID: I20050928001381 |
| Provider Name | Linda A Dunaway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326020553 PECOS PAC ID: 7416982228 Enrollment ID: I20050929001341 |
| Provider Name | Jennifer L Schroederus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912922360 PECOS PAC ID: 0749207942 Enrollment ID: I20051027000370 |
| Provider Name | Robin S Coleman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1447448071 PECOS PAC ID: 4183657133 Enrollment ID: I20051103000376 |
| Provider Name | Theoni H Calvert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346258498 PECOS PAC ID: 5597775502 Enrollment ID: I20060504000232 |
| Provider Name | Terese Eileen Andrle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528022241 PECOS PAC ID: 9830195502 Enrollment ID: I20061020000195 |
| Provider Name | Anne C Mcinnis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740356740 PECOS PAC ID: 4789686635 Enrollment ID: I20070207000020 |
| Provider Name | Jessica J Suhr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477513588 PECOS PAC ID: 7214039825 Enrollment ID: I20070228000708 |
| Provider Name | James T Lipusch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548376726 PECOS PAC ID: 5991808933 Enrollment ID: I20070313000446 |
| Provider Name | Heidi Ann Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821136300 PECOS PAC ID: 5092818930 Enrollment ID: I20070313000513 |
| Provider Name | Lisa M Blaeser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588782353 PECOS PAC ID: 0446318646 Enrollment ID: I20081016000225 |
| Provider Name | Michelle Kathleen Vanden Noven |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700097045 PECOS PAC ID: 7113072638 Enrollment ID: I20090908000196 |
| Provider Name | Cheryl A Rugg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720171671 PECOS PAC ID: 5991830135 Enrollment ID: I20100312001000 |
| Provider Name | Caroline G Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033207386 PECOS PAC ID: 8820129026 Enrollment ID: I20100702000414 |
| Provider Name | Britt A Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306158001 PECOS PAC ID: 6305961822 Enrollment ID: I20100921000242 |
| Provider Name | Thomas K Galten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962525683 PECOS PAC ID: 5496947137 Enrollment ID: I20101013000278 |
| Provider Name | Patricia C Stanik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609956242 PECOS PAC ID: 5890729131 Enrollment ID: I20101122000045 |
| Provider Name | Melanie M Wasserman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043303779 PECOS PAC ID: 9739368119 Enrollment ID: I20110201000621 |
| Provider Name | Wendy J Serketich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225054869 PECOS PAC ID: 6406036847 Enrollment ID: I20110202000475 |
| Provider Name | John S Morrell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184642688 PECOS PAC ID: 4082894431 Enrollment ID: I20110202000558 |
| Provider Name | Geraldine B Banks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356369854 PECOS PAC ID: 0749254100 Enrollment ID: I20110202000571 |
| Provider Name | Shmuel Mandelbaum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942221601 PECOS PAC ID: 2062542111 Enrollment ID: I20110307001012 |
| Provider Name | Todd C Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871730242 PECOS PAC ID: 3779767249 Enrollment ID: I20110707000542 |
| Provider Name | Colleen M Drosdeck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801027826 PECOS PAC ID: 6103098215 Enrollment ID: I20111014000450 |
| Provider Name | Stephanie A Scheiber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316243496 PECOS PAC ID: 9133392061 Enrollment ID: I20111109000334 |
| Provider Name | Denise E Davis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639278534 PECOS PAC ID: 1850568577 Enrollment ID: I20120120000729 |
| Provider Name | Carolyn Klotz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871728253 PECOS PAC ID: 5698826519 Enrollment ID: I20120201000529 |
| Provider Name | Robert W Nohr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629085279 PECOS PAC ID: 8426216904 Enrollment ID: I20120301000311 |
| Provider Name | Ivaylo I Hristov |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255405320 PECOS PAC ID: 4486813029 Enrollment ID: I20120316000585 |
| Provider Name | Raymond J Kloss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851365530 PECOS PAC ID: 8224290952 Enrollment ID: I20120425000734 |
| Provider Name | Monica M Passage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235425885 PECOS PAC ID: 7315109477 Enrollment ID: I20120507000554 |
| Provider Name | Tricia A Vandenakker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932430584 PECOS PAC ID: 0840454351 Enrollment ID: I20120613000628 |
| Provider Name | Elizabeth L Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154550754 PECOS PAC ID: 6901048008 Enrollment ID: I20131226000210 |
| Provider Name | Carin A Pittleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609114511 PECOS PAC ID: 0345463337 Enrollment ID: I20140520001271 |
| Provider Name | Nicole Tauer Ward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497901532 PECOS PAC ID: 7517110224 Enrollment ID: I20141013000848 |
| Provider Name | Lisa M Lizak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902099914 PECOS PAC ID: 6800111527 Enrollment ID: I20150220000728 |
| Provider Name | Pamela L Dennison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780899294 PECOS PAC ID: 0648596858 Enrollment ID: I20150306000373 |
| Provider Name | Andrew J Sievila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932502325 PECOS PAC ID: 3779800388 Enrollment ID: I20150319001131 |
| Provider Name | Elisabeth Steadman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518351303 PECOS PAC ID: 4183943939 Enrollment ID: I20150429002327 |
| Provider Name | Marilyn Tauscher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073949913 PECOS PAC ID: 6608179742 Enrollment ID: I20160122000834 |
| Provider Name | Melissa A Geason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821452095 PECOS PAC ID: 2769780303 Enrollment ID: I20160414000459 |
| Provider Name | Kristi L Sook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619330156 PECOS PAC ID: 4981903457 Enrollment ID: I20160504002404 |
| Provider Name | Susan S Schramka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639259617 PECOS PAC ID: 2163719873 Enrollment ID: I20160923001257 |
| Provider Name | Ryan Sershon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407397938 PECOS PAC ID: 6103193701 Enrollment ID: I20170602001299 |
| Provider Name | Nicholas C Heck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013430495 PECOS PAC ID: 8325310410 Enrollment ID: I20170824001403 |
| Provider Name | Hilary K Tesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508388927 PECOS PAC ID: 4284906231 Enrollment ID: I20170825000694 |
| Provider Name | Dawn M Johanneck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871015891 PECOS PAC ID: 2961777339 Enrollment ID: I20171011001322 |
| Provider Name | Joanne M Berthelsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831614049 PECOS PAC ID: 2062788078 Enrollment ID: I20171018003594 |
| Provider Name | Nicole L Shay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255627279 PECOS PAC ID: 5294031183 Enrollment ID: I20171116002274 |
| Provider Name | Regina S Boyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922288638 PECOS PAC ID: 5698822310 Enrollment ID: I20171213000686 |
| Provider Name | Jennifer L Maxwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912206814 PECOS PAC ID: 8628339173 Enrollment ID: I20180227000364 |
| Provider Name | Abigail Cohn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326445032 PECOS PAC ID: 9335494947 Enrollment ID: I20180622001993 |
| Provider Name | Daniel Noll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396223897 PECOS PAC ID: 3375893316 Enrollment ID: I20180912001525 |
| Provider Name | Stacey D Grant-savela |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265841720 PECOS PAC ID: 3870846058 Enrollment ID: I20181106000647 |
| Provider Name | Beth A Wuerl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366926396 PECOS PAC ID: 3375887151 Enrollment ID: I20181205001224 |
| Provider Name | Heather M Klemm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770055170 PECOS PAC ID: 4981944352 Enrollment ID: I20190321000816 |
| Provider Name | Colette L Feldman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578020129 PECOS PAC ID: 1850631094 Enrollment ID: I20190326000010 |
| Provider Name | Shannon Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972168862 PECOS PAC ID: 0143553156 Enrollment ID: I20190606001301 |
| Provider Name | Jillian Marie Rouleau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538721055 PECOS PAC ID: 6800123100 Enrollment ID: I20190808003978 |
| Provider Name | Patrick Paul Westerham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053577361 PECOS PAC ID: 0840509717 Enrollment ID: I20190923001471 |
| Provider Name | Katherine H Leibsle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720194186 PECOS PAC ID: 2860724861 Enrollment ID: I20191024000337 |
| Provider Name | Tiffany M Jacobsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821360199 PECOS PAC ID: 1254663792 Enrollment ID: I20191101000874 |
| Provider Name | Daniel D Medlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639439433 PECOS PAC ID: 5395178453 Enrollment ID: I20191203001425 |
| Provider Name | David C Poehlmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124182126 PECOS PAC ID: 7012344575 Enrollment ID: I20200221000981 |
| Provider Name | Candice N Dienberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376968073 PECOS PAC ID: 8426487372 Enrollment ID: I20200330000235 |
| Provider Name | Eduard Tsyrulnykov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720213812 PECOS PAC ID: 8527489855 Enrollment ID: I20200522000330 |
| Provider Name | Jennifer Ann Reisel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871112433 PECOS PAC ID: 1951725084 Enrollment ID: I20200722003087 |
| Provider Name | Lateisha Prescott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609410364 PECOS PAC ID: 2365860095 Enrollment ID: I20200914000294 |
| Provider Name | Kimberly A Norden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760007009 PECOS PAC ID: 4789004540 Enrollment ID: I20201015002396 |
| Provider Name | Alyson Colleen Gerdes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952991390 PECOS PAC ID: 8325453624 Enrollment ID: I20210218002986 |
| Provider Name | Kathleen R Mack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619560992 PECOS PAC ID: 9436566718 Enrollment ID: I20210405000091 |
| Provider Name | Cassidy N Stein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699258111 PECOS PAC ID: 0042629578 Enrollment ID: I20210512002443 |
| Provider Name | Megan Rose Ambros |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245806330 PECOS PAC ID: 2365844339 Enrollment ID: I20210713003045 |
| Provider Name | Kara A Guevara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841865250 PECOS PAC ID: 3476958273 Enrollment ID: I20210817002138 |
| Provider Name | Susan M Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982926903 PECOS PAC ID: 3678580131 Enrollment ID: I20211104002156 |
| Provider Name | Hannah R Weston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134881626 PECOS PAC ID: 7911399480 Enrollment ID: I20220112001792 |
| Provider Name | Catherine Rebecca Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376201830 PECOS PAC ID: 2466844824 Enrollment ID: I20220114000122 |
| Provider Name | Lynsey Patricia Retzlaff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023760543 PECOS PAC ID: 4789077066 Enrollment ID: I20220209001251 |
| Provider Name | Tatyana P Siminak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366196685 PECOS PAC ID: 7012301062 Enrollment ID: I20220308001927 |
| Provider Name | Lauren E Damai |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316384126 PECOS PAC ID: 3072909217 Enrollment ID: I20220415000217 |
| Provider Name | Sara N Feist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023288016 PECOS PAC ID: 6608246962 Enrollment ID: I20221230001637 |
| Provider Name | Benjamin H Fendrich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770242281 PECOS PAC ID: 1557733581 Enrollment ID: I20230220002596 |
| Provider Name | Rachel Ann Roeglin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043224983 PECOS PAC ID: 5294107231 Enrollment ID: I20230221000346 |
| Provider Name | Christine Wielgos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114278157 PECOS PAC ID: 3375916596 Enrollment ID: I20230308001964 |
| Provider Name | Brian Michael Flynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790021897 PECOS PAC ID: 7810360955 Enrollment ID: I20230310000741 |
| Provider Name | Gina L Yauck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861819534 PECOS PAC ID: 3476927500 Enrollment ID: I20230313001415 |
| Provider Name | Nanci E Schiman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659915379 PECOS PAC ID: 0143694166 Enrollment ID: I20230314002860 |
| Provider Name | Jennifer Lea Burkel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841648839 PECOS PAC ID: 1850765231 Enrollment ID: I20230327000978 |
| Provider Name | Amber Hearing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386736817 PECOS PAC ID: 0547366809 Enrollment ID: I20230328000669 |
| Provider Name | Richard Harry Goldberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306446257 PECOS PAC ID: 7416321757 Enrollment ID: I20230328001026 |
| Provider Name | Heidi S Clement |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962117952 PECOS PAC ID: 6103290382 Enrollment ID: I20230330001310 |
| Provider Name | Andrew Jacob Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710309059 PECOS PAC ID: 2264807627 Enrollment ID: I20230417002478 |
| Provider Name | Sophia Marie Klingbiel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598142937 PECOS PAC ID: 8123483385 Enrollment ID: I20230424001523 |
| Provider Name | Bridgette Olivia Brodzeller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205237922 PECOS PAC ID: 9335506302 Enrollment ID: I20230606003314 |
| Provider Name | Christopher Wells Winters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700233269 PECOS PAC ID: 2668839259 Enrollment ID: I20230613003115 |
| Provider Name | Renata Marie Okonkwo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770711285 PECOS PAC ID: 1557729753 Enrollment ID: I20230621000248 |
| Provider Name | Kelly Theodore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821472226 PECOS PAC ID: 5698076909 Enrollment ID: I20230830003335 |
| Provider Name | Megan Rowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275034605 PECOS PAC ID: 4385906585 Enrollment ID: I20230911002658 |
| Provider Name | Andrew David Rapinchuk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962110593 PECOS PAC ID: 8325402811 Enrollment ID: I20230918000624 |
| Provider Name | Michael Paul Rospenda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477911444 PECOS PAC ID: 9436504156 Enrollment ID: I20231016000694 |
| Provider Name | Brenda Kay Stiff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255600532 PECOS PAC ID: 2264882455 Enrollment ID: I20240101000062 |
| Provider Name | Laura Marie Karan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770038747 PECOS PAC ID: 8426408550 Enrollment ID: I20240102001170 |
| Provider Name | Sara Saunders |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932666583 PECOS PAC ID: 5395197446 Enrollment ID: I20240115000569 |
| Provider Name | Christopher John Borden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053551671 PECOS PAC ID: 7012369648 Enrollment ID: I20240119001356 |
| Provider Name | Phyllis Ann Lardinois |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154597771 PECOS PAC ID: 4789036906 Enrollment ID: I20240123003229 |
| Provider Name | Natalie R. L Berryman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063811362 PECOS PAC ID: 3072966142 Enrollment ID: I20240125002090 |
| Provider Name | Tony Pham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659962405 PECOS PAC ID: 0244683209 Enrollment ID: I20240126000800 |
| Provider Name | Maureen R Goldblatt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275791345 PECOS PAC ID: 2264885128 Enrollment ID: I20240126001109 |
| Provider Name | Jessica Dawn Marie Corey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114285202 PECOS PAC ID: 6204289176 Enrollment ID: I20240126001776 |
| Provider Name | Kevin Donald Davies |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134602428 PECOS PAC ID: 2769835685 Enrollment ID: I20240126003462 |
| Provider Name | Stephanie L Coates-mcfeeley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467894394 PECOS PAC ID: 1456704303 Enrollment ID: I20240127000614 |
| Provider Name | Susan Elizabeth Schroeder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255416798 PECOS PAC ID: 2466805148 Enrollment ID: I20240130000216 |
| Provider Name | Dana Elise Emold |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659978369 PECOS PAC ID: 9931552635 Enrollment ID: I20240130000759 |
| Provider Name | Katherine Elizabeth Gatlin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518600121 PECOS PAC ID: 0446603096 Enrollment ID: I20240130002904 |
| Provider Name | Miranda Greenwood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053011874 PECOS PAC ID: 9133572506 Enrollment ID: I20240201001957 |
| Provider Name | Julia Rose Shaughnessy |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033688478 PECOS PAC ID: 0749633048 Enrollment ID: I20240201003555 |
| Provider Name | Noelle C Giannini |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538729850 PECOS PAC ID: 6103279401 Enrollment ID: I20240201003587 |
| Provider Name | Sandra J Henke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447803465 PECOS PAC ID: 8224481577 Enrollment ID: I20240202000774 |
| Provider Name | Courtney Gutantes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770938219 PECOS PAC ID: 4587017876 Enrollment ID: I20240202002117 |
| Provider Name | Karen D Henry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366793903 PECOS PAC ID: 9931552221 Enrollment ID: I20240202002149 |
| Provider Name | Dorothy D Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962672659 PECOS PAC ID: 7214370519 Enrollment ID: I20240202002885 |
| Provider Name | Kimberly Rose Schlomann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003438391 PECOS PAC ID: 6507209822 Enrollment ID: I20240202003667 |
| Provider Name | Alexandra Iverson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013500313 PECOS PAC ID: 5597108779 Enrollment ID: I20240205001520 |
| Provider Name | Jill Jacobs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154704559 PECOS PAC ID: 5193168375 Enrollment ID: I20240205001664 |
| Provider Name | Abigail J Heuring |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467915132 PECOS PAC ID: 7315380458 Enrollment ID: I20240206002633 |
| Provider Name | Jessica M Key |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265047625 PECOS PAC ID: 2961845987 Enrollment ID: I20240207000873 |
| Provider Name | Christopher Francis Sloan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316631781 PECOS PAC ID: 8022451053 Enrollment ID: I20240207001014 |
| Provider Name | Elizabeth Ross Dulak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073001616 PECOS PAC ID: 7315380367 Enrollment ID: I20240207001688 |
| Provider Name | Linda Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356889240 PECOS PAC ID: 7315380110 Enrollment ID: I20240208002743 |
| Provider Name | Ann Marie Goral Kratzer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982281762 PECOS PAC ID: 1557704368 Enrollment ID: I20240208002971 |
| Provider Name | Jason L Levine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659835270 PECOS PAC ID: 0547603359 Enrollment ID: I20240208003016 |
| Provider Name | Carol L Kinney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942363155 PECOS PAC ID: 2163865973 Enrollment ID: I20240208003098 |
| Provider Name | Amanda J Knollenberg |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891199253 PECOS PAC ID: 3870936511 Enrollment ID: I20240208004447 |
| Provider Name | Jennifer J Marolt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942721105 PECOS PAC ID: 2668815176 Enrollment ID: I20240212001482 |
| Provider Name | John M Sullivan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639789027 PECOS PAC ID: 7810330222 Enrollment ID: I20240213000265 |
| Provider Name | Terri Lee Koschnick |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558463786 PECOS PAC ID: 7517301898 Enrollment ID: I20240214002044 |
| Provider Name | Barbara Ann Temple |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821072232 PECOS PAC ID: 3274977566 Enrollment ID: I20240214002371 |
| Provider Name | Cayla Joy Lund |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437895125 PECOS PAC ID: 1456795723 Enrollment ID: I20240215000958 |
| Provider Name | Vincent B Vogt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003567140 PECOS PAC ID: 4789028846 Enrollment ID: I20240216000065 |
| Provider Name | Laura Hempe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629479852 PECOS PAC ID: 6103260195 Enrollment ID: I20240217000721 |
| Provider Name | Sadie Marie Millen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598456022 PECOS PAC ID: 5991149908 Enrollment ID: I20240219000487 |
| Provider Name | Brenda R Lovick |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376161489 PECOS PAC ID: 5395189310 Enrollment ID: I20240219000714 |
| Provider Name | Lee Andrew Folstad |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699845487 PECOS PAC ID: 7214371244 Enrollment ID: I20240219001036 |
| Provider Name | Emma Papenfus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770141467 PECOS PAC ID: 0941644975 Enrollment ID: I20240219001055 |
| Provider Name | Anne Repaci |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700287802 PECOS PAC ID: 1658715693 Enrollment ID: I20240219001566 |
| Provider Name | Aaron Ezekiel Munson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184998403 PECOS PAC ID: 0143664086 Enrollment ID: I20240219001783 |
| Provider Name | Marie-therese Hellrung |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184797532 PECOS PAC ID: 0042654980 Enrollment ID: I20240219001815 |
| Provider Name | Kevin Wahl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174994164 PECOS PAC ID: 2668884826 Enrollment ID: I20240219002794 |
| Provider Name | Melissa Shi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962061218 PECOS PAC ID: 1658715545 Enrollment ID: I20240219003579 |
| Provider Name | Rachel Marie Pfeifer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700529476 PECOS PAC ID: 3577907484 Enrollment ID: I20240220000514 |
| Provider Name | Daina L Westerman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043364748 PECOS PAC ID: 0941644868 Enrollment ID: I20240220000897 |
| Provider Name | Kristine M Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861947574 PECOS PAC ID: 3173967866 Enrollment ID: I20240221002739 |
| Provider Name | Julia Peterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194032276 PECOS PAC ID: 7214371822 Enrollment ID: I20240221003737 |
| Provider Name | Robert Lee Abercrombie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487105524 PECOS PAC ID: 7012351570 Enrollment ID: I20240223000320 |
| Provider Name | Amy Bourdo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134603616 PECOS PAC ID: 4688019045 Enrollment ID: I20240226002617 |
| Provider Name | Kimberly Ann Pritchard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760897615 PECOS PAC ID: 5496190720 Enrollment ID: I20240227001253 |
| Provider Name | Alison E Schneider |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972140226 PECOS PAC ID: 1355786682 Enrollment ID: I20240227001417 |
| Provider Name | Hailey Elizabeth Sawtelle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780278416 PECOS PAC ID: 1850736034 Enrollment ID: I20240227003628 |
| Provider Name | Stephanie Tsoris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073913406 PECOS PAC ID: 8325483555 Enrollment ID: I20240228000437 |
| Provider Name | Elizabeth M Schrimpf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053927376 PECOS PAC ID: 1456796697 Enrollment ID: I20240228001018 |
| Provider Name | Erik S Stonecipher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700517125 PECOS PAC ID: 8729423892 Enrollment ID: I20240228002227 |
| Provider Name | Stacey Sievert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326485145 PECOS PAC ID: 3971948068 Enrollment ID: I20240228003065 |
| Provider Name | Elizabeth Stetter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740771989 PECOS PAC ID: 8123463213 Enrollment ID: I20240228003148 |
| Provider Name | Maureen Laustsen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790818771 PECOS PAC ID: 4880039874 Enrollment ID: I20240229002063 |
| Provider Name | Desiree Sigler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528530292 PECOS PAC ID: 3678918455 Enrollment ID: I20240302000638 |
| Provider Name | Deseree A Nehrkorn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912220872 PECOS PAC ID: 1456796168 Enrollment ID: I20240304001373 |
| Provider Name | Jennifer A Patterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003180522 PECOS PAC ID: 7719322403 Enrollment ID: I20240305000061 |
| Provider Name | Diane Marie Bast |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568512572 PECOS PAC ID: 5092150698 Enrollment ID: I20240305000783 |
| Provider Name | Kristen Stodola |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013583798 PECOS PAC ID: 4082059621 Enrollment ID: I20240305002014 |
| Provider Name | Bradley Sachse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437556511 PECOS PAC ID: 9830534411 Enrollment ID: I20240305003584 |
| Provider Name | Nicholas Joseph Overbaugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184076754 PECOS PAC ID: 0547606139 Enrollment ID: I20240305004488 |
| Provider Name | Pahoua Xiong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932795499 PECOS PAC ID: 2062858608 Enrollment ID: I20240306001474 |
| Provider Name | Annette Knutson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851746549 PECOS PAC ID: 5294171849 Enrollment ID: I20240306001722 |
| Provider Name | Jennifer E Wangerin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306076096 PECOS PAC ID: 6002252665 Enrollment ID: I20240306002100 |
| Provider Name | Mya R Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932765203 PECOS PAC ID: 4981040466 Enrollment ID: I20240306002934 |
| Provider Name | John Joseph Barrett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083483358 PECOS PAC ID: 1052757531 Enrollment ID: I20240306003091 |
| Provider Name | Lisa M Schneider |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538771944 PECOS PAC ID: 8628414117 Enrollment ID: I20240306003400 |
| Provider Name | Macey Lynn Villarreal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023445731 PECOS PAC ID: 2860838356 Enrollment ID: I20240306003504 |
| Provider Name | Kristine Ann Ludwig |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346952199 PECOS PAC ID: 6406292929 Enrollment ID: I20240307000045 |
| Provider Name | Adrien Prah |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720795669 PECOS PAC ID: 7315383841 Enrollment ID: I20240307000275 |
| Provider Name | Jack Gieche |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558766949 PECOS PAC ID: 4981040433 Enrollment ID: I20240307000821 |
| Provider Name | Amy M Lemberger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871873075 PECOS PAC ID: 8325484793 Enrollment ID: I20240307001563 |
| Provider Name | Loren Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710609110 PECOS PAC ID: 7810333200 Enrollment ID: I20240307002151 |
| Provider Name | Danielle Nicole Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811760952 PECOS PAC ID: 8628414018 Enrollment ID: I20240307002181 |
| Provider Name | Wendy Herrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417201633 PECOS PAC ID: 6103262506 Enrollment ID: I20240307002536 |
| Provider Name | Angela Marie Kupper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669252524 PECOS PAC ID: 7517303910 Enrollment ID: I20240307002707 |
| Provider Name | Lisa Marie Rafalski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326748153 PECOS PAC ID: 6305282724 Enrollment ID: I20240307003314 |
| Provider Name | Jessica Poteat |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144769043 PECOS PAC ID: 1850737289 Enrollment ID: I20240307003737 |
| Provider Name | Linda Sue Huckstep |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871013201 PECOS PAC ID: 8527404987 Enrollment ID: I20240308000293 |
| Provider Name | Micaela Killinger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386385151 PECOS PAC ID: 4789020058 Enrollment ID: I20240308001037 |
| Provider Name | James Louis Harrison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255371142 PECOS PAC ID: 9931545811 Enrollment ID: I20240313004431 |
| Provider Name | Amy Weidert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053029603 PECOS PAC ID: 4385080175 Enrollment ID: I20240315000324 |
| Provider Name | Nicholas Salazar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619660065 PECOS PAC ID: 9830535582 Enrollment ID: I20240315002624 |
| Provider Name | Lisa D Mclean |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427455807 PECOS PAC ID: 1153767801 Enrollment ID: I20240315002860 |
Christian Life Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12630 W North Ave Bldg E, Brookfield, WI 53005 Phone: 262-785-1008 Fax: 262-432-9059 | |
Dbt Consultants Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 Phone: 414-305-6588 | |
The Anxiety Center Acquisition, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15850 W Bluemound Rd Ste 208, Brookfield, WI 53005 Phone: 262-719-5898 Fax: 262-641-9040 | |
Trueblood Psychological Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 19275 W Capitol Dr Ste 200, Brookfield, WI 53045 Phone: 262-222-2882 Fax: 414-431-6018 | |
Gorecki Psychological Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 19275 W Capitol Dr Ste 200, Brookfield, WI 53045 Phone: 262-546-7478 Fax: 262-373-0362 | |
Tgl Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1750 N Calhoun Rd, Brookfield, WI 53005 Phone: 414-218-6958 |