| 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 | 08/18/2025 |
| Certification Date | 08/18/2025 |
| 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 | Barbara G Demilio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629696083 PECOS PAC ID: 6800780339 Enrollment ID: I20040213000316 |
| Provider Name | Bruce a Semon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114020773 PECOS PAC ID: 3971498866 Enrollment ID: I20040219000202 |
| Provider Name | Lauri Lowenbraun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649288036 PECOS PAC ID: 0143201905 Enrollment ID: I20040527000188 |
| Provider Name | Philip a Sweet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598825341 PECOS PAC ID: 4385629617 Enrollment ID: I20040622000073 |
| 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 | Jane M Casseus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972519155 PECOS PAC ID: 7416918479 Enrollment ID: I20041022000507 |
| 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 | Janell M Loescher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700963352 PECOS PAC ID: 6103879085 Enrollment ID: I20050303000111 |
| 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 | Bronwyn Dilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407809072 PECOS PAC ID: 2860416369 Enrollment ID: I20060124000330 |
| Provider Name | Jennifer E Foro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952416034 PECOS PAC ID: 6002824711 Enrollment ID: I20060322000272 |
| Provider Name | Ann M Woosencraft Keeler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558473009 PECOS PAC ID: 4385653708 Enrollment ID: I20060413000037 |
| Provider Name | Theoni H Calvert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346258498 PECOS PAC ID: 5597775502 Enrollment ID: I20060504000232 |
| Provider Name | Trevor F Hyde |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982641452 PECOS PAC ID: 8527070747 Enrollment ID: I20060706000300 |
| 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 | 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 | Kari Lynn Di Fonzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508965906 PECOS PAC ID: 8022112838 Enrollment ID: I20070404000406 |
| Provider Name | Beverly a Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932258969 PECOS PAC ID: 5395838676 Enrollment ID: I20070831000256 |
| 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 | Britt a Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306158001 PECOS PAC ID: 6305961822 Enrollment ID: I20100921000242 |
| Provider Name | Thomas Karl 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 | Brenda S Kepler Leske |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154384006 PECOS PAC ID: 4284819178 Enrollment ID: I20110419000332 |
| 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 | Alicia Kovac |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063798536 PECOS PAC ID: 9739354689 Enrollment ID: I20111205000831 |
| Provider Name | Denise E Davis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639278534 PECOS PAC ID: 1850568577 Enrollment ID: I20120120000729 |
| Provider Name | Christopher S Bermant |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568626588 PECOS PAC ID: 6103093547 Enrollment ID: I20120125000532 |
| 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 | Molly E Grosse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194156760 PECOS PAC ID: 6709014442 Enrollment ID: I20140102000672 |
| Provider Name | Thomasina Marie Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184748618 PECOS PAC ID: 4486871852 Enrollment ID: I20140807001870 |
| 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 | Elisabeth Steadman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518351303 PECOS PAC ID: 4183943939 Enrollment ID: I20150429002327 |
| Provider Name | Alicia K Leslie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437387958 PECOS PAC ID: 3375858863 Enrollment ID: I20150812008190 |
| 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 | Katrina L Nipko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134672363 PECOS PAC ID: 9133409766 Enrollment ID: I20161216001412 |
| Provider Name | Ryan Sershon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407397938 PECOS PAC ID: 6103193701 Enrollment ID: I20170602001299 |
| Provider Name | Jennifer L Evancy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154486876 PECOS PAC ID: 9335417419 Enrollment ID: I20170613002719 |
| 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 | Octavia N Manuel-wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598950396 PECOS PAC ID: 6406129352 Enrollment ID: I20170829001736 |
| Provider Name | Daniel Villarreal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053516013 PECOS PAC ID: 1355614165 Enrollment ID: I20170830000605 |
| Provider Name | Monika Zawadzka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891192456 PECOS PAC ID: 8729352778 Enrollment ID: I20170914003035 |
| 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 | Laura Ann Heidelmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699291757 PECOS PAC ID: 3072879170 Enrollment ID: I20171106002051 |
| 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 | Lissa R Myhre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891966297 PECOS PAC ID: 6507119567 Enrollment ID: I20181022002800 |
| 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 | Lisa Eileen Calabrese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801376140 PECOS PAC ID: 8325382906 Enrollment ID: I20181210000132 |
| Provider Name | Anthony D Dobner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437581139 PECOS PAC ID: 2264655760 Enrollment ID: I20181210003130 |
| Provider Name | Mark a Morrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982614798 PECOS PAC ID: 2769404896 Enrollment ID: I20181227000020 |
| 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 | Jillian Marie Rouleau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538721055 PECOS PAC ID: 6800123100 Enrollment ID: I20190808003978 |
| Provider Name | Susan R Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629036181 PECOS PAC ID: 9931165784 Enrollment ID: I20190816002691 |
| 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 | Emily Gill Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568947158 PECOS PAC ID: 3577973908 Enrollment ID: I20201113000606 |
| Provider Name | Ashley Westphal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902444029 PECOS PAC ID: 4688085939 Enrollment ID: I20201118000937 |
| Provider Name | Lisa Ann Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871066506 PECOS PAC ID: 8325450984 Enrollment ID: I20201224000194 |
| Provider Name | Melissa a Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649888389 PECOS PAC ID: 3375956782 Enrollment ID: I20210104000627 |
| Provider Name | Karen a Piszczek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164779757 PECOS PAC ID: 5799198743 Enrollment ID: I20210112000485 |
| Provider Name | Beth Feist |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548536097 PECOS PAC ID: 7214172279 Enrollment ID: I20210201001195 |
| 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 Noelle Evanich |
|---|---|
| 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 | Kathryn Marolt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265002810 PECOS PAC ID: 0042613028 Enrollment ID: I20210728002401 |
| 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 | Elaine Katherine Wessel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942974571 PECOS PAC ID: 4385040443 Enrollment ID: I20210915001227 |
| 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 | Shannon Renee Olson Wietrzny |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427647825 PECOS PAC ID: 0941684278 Enrollment ID: I20220905000375 |
| Provider Name | Jennifer Conrardy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942936539 PECOS PAC ID: 6608251962 Enrollment ID: I20220922002036 |
| Provider Name | Anthony N Correro II |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356088405 PECOS PAC ID: 0749666733 Enrollment ID: I20220928001983 |
| 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 | Jenna Mohelnitzky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013488022 PECOS PAC ID: 3274907183 Enrollment ID: I20230316000094 |
| 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 | Daniel Peter Mccool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891415154 PECOS PAC ID: 6002272333 Enrollment ID: I20230511002398 |
| Provider Name | Jennifer M Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629395876 PECOS PAC ID: 8527424779 Enrollment ID: I20230515001870 |
| Provider Name | Renata Marie Okonkwo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770711285 PECOS PAC ID: 1557729753 Enrollment ID: I20230621000248 |
| Provider Name | Robert William Carroll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487056693 PECOS PAC ID: 2365814712 Enrollment ID: I20230720000335 |
| Provider Name | Malorie a Huguet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861174971 PECOS PAC ID: 6406219146 Enrollment ID: I20230829002976 |
| 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 | Logan Elyse Pockl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407530934 PECOS PAC ID: 9830553346 Enrollment ID: I20230918002015 |
| 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 | Whitney M Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881367738 PECOS PAC ID: 2860840568 Enrollment ID: I20231117002607 |
| Provider Name | Elizabeth Arndorfer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558918516 PECOS PAC ID: 7113377755 Enrollment ID: I20231222001985 |
| Provider Name | Shannon D Fenceroy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154911352 PECOS PAC ID: 8921458415 Enrollment ID: I20231226000359 |
| Provider Name | Erick Muhlenbeck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902349194 PECOS PAC ID: 8820448202 Enrollment ID: I20231227002068 |
| 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 | Leslie Marie Berumen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578855672 PECOS PAC ID: 5597115790 Enrollment ID: I20240101000228 |
| Provider Name | Laura Marie Carter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770038747 PECOS PAC ID: 8426408550 Enrollment ID: I20240102001170 |
| Provider Name | Michaela Klimko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861004848 PECOS PAC ID: 8426409129 Enrollment ID: I20240108000060 |
| Provider Name | Thomas Marx |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689947384 PECOS PAC ID: 7810348406 Enrollment ID: I20240108005426 |
| Provider Name | Jamie Lynn Garrow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366924243 PECOS PAC ID: 7214388529 Enrollment ID: I20240111001833 |
| Provider Name | Sara Saunders |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932666583 PECOS PAC ID: 5395197446 Enrollment ID: I20240115000569 |
| Provider Name | Peter Allen Schwoerer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982013397 PECOS PAC ID: 0042662769 Enrollment ID: I20240118002066 |
| Provider Name | Cynthia C White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700562865 PECOS PAC ID: 7113379793 Enrollment ID: I20240118004248 |
| 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 | Shem M Biebert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366054579 PECOS PAC ID: 7214389543 Enrollment ID: I20240123000037 |
| Provider Name | Sarah Westerman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164183216 PECOS PAC ID: 5496107724 Enrollment ID: I20240123000064 |
| 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 | Laura Ceccato |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760720932 PECOS PAC ID: 7911359153 Enrollment ID: I20240123003810 |
| 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 | 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 | 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 | Carol L Kinney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942363155 PECOS PAC ID: 2163865973 Enrollment ID: I20240208003098 |
| Provider Name | Judy Wang Lue Bertoni |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215073747 PECOS PAC ID: 3274976006 Enrollment ID: I20240208003858 |
| 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 May |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942721105 PECOS PAC ID: 2668815176 Enrollment ID: I20240212001482 |
| 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 | Sierra Worob |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568031284 PECOS PAC ID: 4082058680 Enrollment ID: I20240222002520 |
| 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 | Marissa a Gaedtke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629755889 PECOS PAC ID: 0042655573 Enrollment ID: I20240223003267 |
| 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 | 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 | Lisa Marie Regner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487196812 PECOS PAC ID: 1850736935 Enrollment ID: I20240228002760 |
| 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 | Alison Maloney Strycker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336409788 PECOS PAC ID: 7517302631 Enrollment ID: I20240228004230 |
| 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 | Bethany F Williamson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932666534 PECOS PAC ID: 4981049889 Enrollment ID: I20240301001753 |
| 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 | 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 | Alexandra Kim Meitzen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417577230 PECOS PAC ID: 0244676898 Enrollment ID: I20240306001866 |
| Provider Name | Kathleen Vincent Phillipson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326283201 PECOS PAC ID: 1355787920 Enrollment ID: I20240306002505 |
| 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 | 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 | Patricia Rebecca Jahr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144810615 PECOS PAC ID: 5799121182 Enrollment ID: I20240307002273 |
| 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 R 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 | Yolanda Marie Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407382534 PECOS PAC ID: 7012353030 Enrollment ID: I20240313001955 |
| 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 |
| Provider Name | Katrina M Tarke-karge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235438631 PECOS PAC ID: 2961849617 Enrollment ID: I20240318002522 |
| Provider Name | Julia Mueller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407244460 PECOS PAC ID: 3779920434 Enrollment ID: I20240318002605 |
| Provider Name | Kaitlyn Sheskey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346839545 PECOS PAC ID: 4284071887 Enrollment ID: I20240319000591 |
| Provider Name | Nolan J Campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205426244 PECOS PAC ID: 5395182901 Enrollment ID: I20240319001199 |
| Provider Name | Evan Hart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508043910 PECOS PAC ID: 6507203130 Enrollment ID: I20240319001856 |
| Provider Name | Ryan David Snead |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851054035 PECOS PAC ID: 7416394903 Enrollment ID: I20240320000035 |
| Provider Name | Dorothy Kozakowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588909196 PECOS PAC ID: 7113160847 Enrollment ID: I20240320003149 |
| Provider Name | Nicole Elizabeth Lotz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740805142 PECOS PAC ID: 4183061591 Enrollment ID: I20240321000502 |
| Provider Name | Jacob M Mecca-guillien |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033687090 PECOS PAC ID: 7214374503 Enrollment ID: I20240321004173 |
| Provider Name | Tom Mcbride |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306382916 PECOS PAC ID: 4688011893 Enrollment ID: I20240325000038 |
| Provider Name | Veronica Kelci Pyatt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821402991 PECOS PAC ID: 7416394549 Enrollment ID: I20240325001213 |
| Provider Name | Anna B Roberts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891259958 PECOS PAC ID: 4880032606 Enrollment ID: I20240329000488 |
| Provider Name | Jenna Leigh Schaefer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669199154 PECOS PAC ID: 8921446774 Enrollment ID: I20240329001612 |
| Provider Name | Jeffrey Michael Nerone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023625506 PECOS PAC ID: 5294173043 Enrollment ID: I20240329001640 |
| Provider Name | Jody Reiss |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871030007 PECOS PAC ID: 8426496274 Enrollment ID: I20240329001785 |
| Provider Name | Brittney Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801331756 PECOS PAC ID: 1557709250 Enrollment ID: I20240401000756 |
| Provider Name | Colleen W Baird |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578018529 PECOS PAC ID: 6002254604 Enrollment ID: I20240402001262 |
| Provider Name | Amy Perkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427424720 PECOS PAC ID: 5092153486 Enrollment ID: I20240404000758 |
| Provider Name | Ivan Ruvalcaba |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497396766 PECOS PAC ID: 1658719935 Enrollment ID: I20240405000125 |
| Provider Name | Katrina Marie Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285807727 PECOS PAC ID: 6507204898 Enrollment ID: I20240405000766 |
| Provider Name | Jill Spielmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871991810 PECOS PAC ID: 2668810813 Enrollment ID: I20240405003388 |
| Provider Name | Alexander Wissing |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407487317 PECOS PAC ID: 2668810797 Enrollment ID: I20240409000816 |
| Provider Name | Patricia Michelle Carrington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013574409 PECOS PAC ID: 5294173373 Enrollment ID: I20240409002195 |
| Provider Name | Angela Povletich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326479510 PECOS PAC ID: 5890133904 Enrollment ID: I20240409003125 |
| Provider Name | Ashley L Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649825159 PECOS PAC ID: 7618315623 Enrollment ID: I20240409003460 |
| Provider Name | Brittany Pichette |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003513508 PECOS PAC ID: 9931548831 Enrollment ID: I20240411001865 |
| Provider Name | Sarah Lukas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821700964 PECOS PAC ID: 9436598380 Enrollment ID: I20240411004327 |
| Provider Name | Sara M Goetz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144766239 PECOS PAC ID: 7517306376 Enrollment ID: I20240412004016 |
| Provider Name | Ashley Ross |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376912972 PECOS PAC ID: 3779922232 Enrollment ID: I20240416003744 |
| Provider Name | Caley Mamerow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306446430 PECOS PAC ID: 2668812199 Enrollment ID: I20240501003032 |
| Provider Name | Amy J Kistner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700953114 PECOS PAC ID: 8729428123 Enrollment ID: I20240502001604 |
| Provider Name | Christine Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063525913 PECOS PAC ID: 3274511563 Enrollment ID: I20240502003082 |
| Provider Name | Cassandra R Downey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255763538 PECOS PAC ID: 9032559158 Enrollment ID: I20240510001430 |
| Provider Name | Laura Janson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144580556 PECOS PAC ID: 9234570920 Enrollment ID: I20240513001660 |
| Provider Name | Fauzia Nimako Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851176283 PECOS PAC ID: 1254772981 Enrollment ID: I20240513003403 |
| Provider Name | Danielle Spitzer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417256967 PECOS PAC ID: 0749621266 Enrollment ID: I20240515003053 |
| Provider Name | Andrea Dawydowycz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922783547 PECOS PAC ID: 1153762539 Enrollment ID: I20240516001359 |
| Provider Name | Elizabeth Anne Harms |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689453920 PECOS PAC ID: 4284076480 Enrollment ID: I20240520002041 |
| Provider Name | Angela B Siler |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982771317 PECOS PAC ID: 1759723547 Enrollment ID: I20240524000851 |
| Provider Name | Jennifer a Janowitz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649751223 PECOS PAC ID: 9032551635 Enrollment ID: I20240529000299 |
| Provider Name | Natalie M Clerkin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083330567 PECOS PAC ID: 1658713268 Enrollment ID: I20240529000708 |
| Provider Name | Jonah Mical Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972081347 PECOS PAC ID: 0648612051 Enrollment ID: I20240530000686 |
| Provider Name | Leah M Frazier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497418750 PECOS PAC ID: 9436591872 Enrollment ID: I20240530001665 |
| Provider Name | Lauren Griffith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003288234 PECOS PAC ID: 9335681394 Enrollment ID: I20240605001546 |
| Provider Name | Kelly Kendricks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548872765 PECOS PAC ID: 6800338435 Enrollment ID: I20240611000171 |
| Provider Name | Karen J Kiser-mikulanec |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700165768 PECOS PAC ID: 4981146354 Enrollment ID: I20240613000680 |
| Provider Name | Jessica Lee Clayborn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740869155 PECOS PAC ID: 9739622788 Enrollment ID: I20240618002850 |
| Provider Name | Laura Ramos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033742275 PECOS PAC ID: 7618411463 Enrollment ID: I20240703001591 |
| Provider Name | Matthew Everett Rimer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962829929 PECOS PAC ID: 4385188994 Enrollment ID: I20240705003049 |
| Provider Name | William Stephen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326123175 PECOS PAC ID: 5496290991 Enrollment ID: I20240709002118 |
| Provider Name | James Holtz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023436979 PECOS PAC ID: 2466997879 Enrollment ID: I20240710001599 |
| Provider Name | Nicole M Scher-hubing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043551039 PECOS PAC ID: 9335684349 Enrollment ID: I20240715002255 |
| Provider Name | Vanessa Verran |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467087429 PECOS PAC ID: 7214473842 Enrollment ID: I20240719000494 |
| Provider Name | Paityn C Biro |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1477287852 PECOS PAC ID: 6709256191 Enrollment ID: I20240724001627 |
| Provider Name | Andrea Satre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598924391 PECOS PAC ID: 3870039647 Enrollment ID: I20240729002827 |
| Provider Name | Andrew Michael Clayton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437773736 PECOS PAC ID: 4082151725 Enrollment ID: I20240731001013 |
| Provider Name | Leeann Gause Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790270049 PECOS PAC ID: 8224575808 Enrollment ID: I20240731002981 |
| Provider Name | Bradley J Dexter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629713433 PECOS PAC ID: 6002353604 Enrollment ID: I20240731003605 |
| Provider Name | Brae Vlaj |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225712052 PECOS PAC ID: 3779020383 Enrollment ID: I20240731004336 |
| Provider Name | Elizabeth a Menon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992442503 PECOS PAC ID: 2264979624 Enrollment ID: I20240802000626 |
| Provider Name | Lauren a Scaletta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235402363 PECOS PAC ID: 4880131093 Enrollment ID: I20240806002549 |
| Provider Name | Suzanne M Stewart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003084526 PECOS PAC ID: 4789121757 Enrollment ID: I20240808000849 |
| Provider Name | Steven M Blank |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285177121 PECOS PAC ID: 6507303427 Enrollment ID: I20240808003152 |
| Provider Name | Jennifer Ann Geisler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992380489 PECOS PAC ID: 7911444807 Enrollment ID: I20240809001108 |
| Provider Name | Eric R Downs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831870013 PECOS PAC ID: 8527506443 Enrollment ID: I20240809002686 |
| Provider Name | Rose Alina Summers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659070381 PECOS PAC ID: 1759829245 Enrollment ID: I20240815000291 |
| Provider Name | Jo Ann M Ahles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942789730 PECOS PAC ID: 2860930286 Enrollment ID: I20240816001557 |
| Provider Name | Jacquelyn R. Lyngdal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497443188 PECOS PAC ID: 9234677568 Enrollment ID: I20240816002553 |
| Provider Name | Drea Straw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598122301 PECOS PAC ID: 2163960782 Enrollment ID: I20240819002133 |
| Provider Name | Erika Grahovac |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427599778 PECOS PAC ID: 6800334921 Enrollment ID: I20240820001382 |
| Provider Name | Emily C Giles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699488767 PECOS PAC ID: 2961940085 Enrollment ID: I20240820001498 |
| Provider Name | Shana R Martindale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639561368 PECOS PAC ID: 7214475342 Enrollment ID: I20240820002036 |
| Provider Name | Timothy a Hyer-devine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366291460 PECOS PAC ID: 5193263234 Enrollment ID: I20240820002241 |
| Provider Name | Brian Shawn Martinezdelacotera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730726753 PECOS PAC ID: 6305384314 Enrollment ID: I20240821001157 |
| Provider Name | Emma Low |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588043590 PECOS PAC ID: 9436698370 Enrollment ID: I20240823001194 |
| Provider Name | Bradley Ross |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154665214 PECOS PAC ID: 5092125922 Enrollment ID: I20240827002017 |
| Provider Name | Marissa Alexandra Duncan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134995152 PECOS PAC ID: 8022557412 Enrollment ID: I20240829001472 |
| Provider Name | Maria a Butts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174306591 PECOS PAC ID: 0840739991 Enrollment ID: I20240903002979 |
| Provider Name | Michelle Kristie Beahm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871739995 PECOS PAC ID: 1658811757 Enrollment ID: I20240904001118 |
| Provider Name | Howard R Thirus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497209225 PECOS PAC ID: 5698194975 Enrollment ID: I20240906001165 |
| Provider Name | Alexis Elin Fliehs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821608878 PECOS PAC ID: 6709326556 Enrollment ID: I20240909000921 |
| Provider Name | Holly Kegel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114238656 PECOS PAC ID: 0547700148 Enrollment ID: I20240910003014 |
| Provider Name | Katelyn Llewellyn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275950073 PECOS PAC ID: 7517407125 Enrollment ID: I20240910003592 |
| Provider Name | Naomi Arenzon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821760901 PECOS PAC ID: 9931649209 Enrollment ID: I20240912004045 |
| Provider Name | Keith P Stigler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134563158 PECOS PAC ID: 9436690278 Enrollment ID: I20240920001090 |
| Provider Name | Sarah Charneski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952839045 PECOS PAC ID: 4385185933 Enrollment ID: I20240923002086 |
| Provider Name | Maria Christine Erdmann Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497839922 PECOS PAC ID: 6608317219 Enrollment ID: I20240924000063 |
| Provider Name | Andrea Lynn Benslimane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144878638 PECOS PAC ID: 2860933314 Enrollment ID: I20240924002341 |
| Provider Name | Dawn M Wittig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518353762 PECOS PAC ID: 9830630268 Enrollment ID: I20240925001321 |
| Provider Name | Lori Elizabeth Dore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457872418 PECOS PAC ID: 8325589641 Enrollment ID: I20240926000256 |
| Provider Name | Emogene Flegner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356884084 PECOS PAC ID: 3274064803 Enrollment ID: I20241007000859 |
| Provider Name | Taylor Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972136984 PECOS PAC ID: 3173054632 Enrollment ID: I20241008002556 |
| Provider Name | Elizabeth I Woger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295481851 PECOS PAC ID: 4082145560 Enrollment ID: I20241008003522 |
| Provider Name | Paul Erwin Brunn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235769993 PECOS PAC ID: 6507398971 Enrollment ID: I20241010002589 |
| Provider Name | Amy L Everson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639536014 PECOS PAC ID: 0749712024 Enrollment ID: I20241010003752 |
| Provider Name | Autumn Rose Vaassen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285475756 PECOS PAC ID: 6406388719 Enrollment ID: I20241011000664 |
| Provider Name | Christina Ramos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225672710 PECOS PAC ID: 6608308937 Enrollment ID: I20241011001728 |
| Provider Name | Tou Chang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447917042 PECOS PAC ID: 2961934211 Enrollment ID: I20241011002258 |
| Provider Name | Kari Lois Walters Duncan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154942639 PECOS PAC ID: 6800328840 Enrollment ID: I20241016001566 |
| Provider Name | Katie J Foster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821494923 PECOS PAC ID: 9739611609 Enrollment ID: I20241016002926 |
| Provider Name | Aaron Paul Robbins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346907649 PECOS PAC ID: 5890227771 Enrollment ID: I20241016003501 |
| Provider Name | Teresa Jane Bay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194213389 PECOS PAC ID: 9931631868 Enrollment ID: I20241017000503 |
| Provider Name | Madeline Bliske |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063188399 PECOS PAC ID: 3173055001 Enrollment ID: I20241017000669 |
| Provider Name | Sarah J Britton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891162046 PECOS PAC ID: 1658803481 Enrollment ID: I20241017001011 |
| Provider Name | Angela Marie Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184631558 PECOS PAC ID: 3971035726 Enrollment ID: I20241017001719 |
| Provider Name | Lindsey Kingsley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831785567 PECOS PAC ID: 5395277172 Enrollment ID: I20241017002908 |
| Provider Name | John Pitman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942879663 PECOS PAC ID: 7911439542 Enrollment ID: I20241021000912 |
| Provider Name | Jeremy Avner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306435508 PECOS PAC ID: 1759814999 Enrollment ID: I20241028000897 |
| Provider Name | Kim Michele Jaeger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851797070 PECOS PAC ID: 0446783690 Enrollment ID: I20241028001444 |
| Provider Name | Sherrina Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215578844 PECOS PAC ID: 8426581307 Enrollment ID: I20241030003635 |
| Provider Name | Kimberly Ann Robertson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326688797 PECOS PAC ID: 3870026644 Enrollment ID: I20241031003393 |
| Provider Name | Lindsey a Krauss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780248039 PECOS PAC ID: 1355875949 Enrollment ID: I20241105000804 |
| Provider Name | Rosemary Susan Moylan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568138899 PECOS PAC ID: 0840724449 Enrollment ID: I20241105001503 |
| Provider Name | Brea Ann Quadracci |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396441168 PECOS PAC ID: 1850825274 Enrollment ID: I20241107002746 |
| Provider Name | Sara Danielle Giboyeaux |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861252496 PECOS PAC ID: 0446784870 Enrollment ID: I20241107003562 |
| Provider Name | Jayme Matloub |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821720483 PECOS PAC ID: 2769916105 Enrollment ID: I20241107003805 |
| Provider Name | Kandis Gallentine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275225450 PECOS PAC ID: 2062946049 Enrollment ID: I20241113002938 |
| Provider Name | Sabrina N Stephens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538925839 PECOS PAC ID: 0941734677 Enrollment ID: I20241118000377 |
| Provider Name | Teresa a Souders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407924004 PECOS PAC ID: 9436251105 Enrollment ID: I20241118000435 |
| Provider Name | Margaret Tate Sawyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962244095 PECOS PAC ID: 4486189180 Enrollment ID: I20241118003592 |
| Provider Name | Patrice N Mcbeath |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043735129 PECOS PAC ID: 7315472917 Enrollment ID: I20241119003790 |
| Provider Name | Erin Renai Hernikl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114535374 PECOS PAC ID: 4789119207 Enrollment ID: I20241121000091 |
| Provider Name | Tracy L. Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689699092 PECOS PAC ID: 9638604069 Enrollment ID: I20241122000339 |
| Provider Name | Marisol E. Brost |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013553932 PECOS PAC ID: 7012442304 Enrollment ID: I20241122003218 |
| Provider Name | Sarah Magallon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386117851 PECOS PAC ID: 6305371550 Enrollment ID: I20241125001358 |
| Provider Name | Evette Rowley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679970123 PECOS PAC ID: 7911319348 Enrollment ID: I20241125001836 |
| Provider Name | Emily Kathryn Olson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023632635 PECOS PAC ID: 9739614967 Enrollment ID: I20241126000317 |
| Provider Name | Kevin Roum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477334555 PECOS PAC ID: 6002341138 Enrollment ID: I20241126000685 |
| Provider Name | Gregory Paul Ullstrom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710626239 PECOS PAC ID: 5597290668 Enrollment ID: I20241126002642 |
| Provider Name | Tasha L Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679347017 PECOS PAC ID: 0648705632 Enrollment ID: I20241127003320 |
| Provider Name | David Roman Pepper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851881452 PECOS PAC ID: 3375078298 Enrollment ID: I20241202000112 |
| Provider Name | Indigo Rai Beilfuss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639800105 PECOS PAC ID: 0749716413 Enrollment ID: I20241205002026 |
| Provider Name | Karen Lynn Hansen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780022079 PECOS PAC ID: 7012443567 Enrollment ID: I20241209000927 |
| Provider Name | Meaghan Elizabeth Bakkum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750116877 PECOS PAC ID: 4789110172 Enrollment ID: I20241209002908 |
| Provider Name | Kevin James Kavanaugh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508312505 PECOS PAC ID: 1153799531 Enrollment ID: I20241210003565 |
| Provider Name | Briana Sowinski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679395719 PECOS PAC ID: 0749716827 Enrollment ID: I20241212002098 |
| Provider Name | Justine Marie Hintz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700969540 PECOS PAC ID: 4082141825 Enrollment ID: I20241218002085 |
| Provider Name | Katherine Jane Carpenter |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1881113389 PECOS PAC ID: 0749717320 Enrollment ID: I20241220000072 |
| Provider Name | Kesley Kathryn Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407498496 PECOS PAC ID: 6103353750 Enrollment ID: I20241220002888 |
| Provider Name | Kaity Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841819810 PECOS PAC ID: 5991232480 Enrollment ID: I20241223000594 |
| Provider Name | Michelle Lee Donovan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952464125 PECOS PAC ID: 4587191002 Enrollment ID: I20241223001812 |
| Provider Name | Sylvester J Ndifor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467277376 PECOS PAC ID: 0244768265 Enrollment ID: I20250103002137 |
| Provider Name | Carolyn Hasek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700176815 PECOS PAC ID: 9537697412 Enrollment ID: I20250106001081 |
| Provider Name | Maria Lyn Valentine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962135285 PECOS PAC ID: 0143758037 Enrollment ID: I20250106001686 |
| Provider Name | Christy Lynn Lynch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598460107 PECOS PAC ID: 9335677251 Enrollment ID: I20250106002946 |
| Provider Name | Emily Ann Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649976689 PECOS PAC ID: 3577091982 Enrollment ID: I20250114000274 |
| Provider Name | Tekia Wells |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770887028 PECOS PAC ID: 9133657430 Enrollment ID: I20250115000213 |
| Provider Name | Emily J Lutzen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457962938 PECOS PAC ID: 1355879669 Enrollment ID: I20250115000808 |
| Provider Name | Kimberly Anne Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659824266 PECOS PAC ID: 9638607757 Enrollment ID: I20250116001600 |
| Provider Name | Vicki Lynn Mohorich-flanders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962699405 PECOS PAC ID: 6709314867 Enrollment ID: I20250116003538 |
| Provider Name | Cynthia Marie Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932844404 PECOS PAC ID: 8820527617 Enrollment ID: I20250123001346 |
| Provider Name | Susan E Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083421457 PECOS PAC ID: 4981133568 Enrollment ID: I20250128000941 |
| Provider Name | Nastassia Satahoo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689337982 PECOS PAC ID: 6608305842 Enrollment ID: I20250203000010 |
| Provider Name | Judy Lauwasser Bruett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932297017 PECOS PAC ID: 5991235012 Enrollment ID: I20250205000333 |
| Provider Name | Auriztelle Y Luna |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407491749 PECOS PAC ID: 3173053204 Enrollment ID: I20250205000777 |
| Provider Name | Michelle L. Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912911967 PECOS PAC ID: 8628508694 Enrollment ID: I20250205002674 |
| Provider Name | Linnea Cochran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992427744 PECOS PAC ID: 8527598275 Enrollment ID: I20250210002861 |
| Provider Name | Susan Love |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215487749 PECOS PAC ID: 3375073042 Enrollment ID: I20250211000294 |
| Provider Name | Melissa Ann Kohnert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568278232 PECOS PAC ID: 7416487129 Enrollment ID: I20250211001771 |
| Provider Name | Eva Bloom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578372884 PECOS PAC ID: 0244760874 Enrollment ID: I20250211002993 |
| Provider Name | August Viegut |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689233439 PECOS PAC ID: 6709306004 Enrollment ID: I20250217002380 |
| Provider Name | Kristine Marie Amdor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225641640 PECOS PAC ID: 7517487812 Enrollment ID: I20250217002383 |
| Provider Name | Gabrielle Michelle Steinbrenner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508627548 PECOS PAC ID: 1456871391 Enrollment ID: I20250224000602 |
| Provider Name | Jennifer L Huggins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235952151 PECOS PAC ID: 1759801269 Enrollment ID: I20250226003397 |
| Provider Name | Carmen Mengistu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063238574 PECOS PAC ID: 9335669761 Enrollment ID: I20250227003975 |
| Provider Name | Stephanie a Hoeft |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326852708 PECOS PAC ID: 0941721336 Enrollment ID: I20250228002826 |
| Provider Name | Nakita Dominique Cleveland Hickles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396556965 PECOS PAC ID: 4688195019 Enrollment ID: I20250303000312 |
| Provider Name | Heather Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508323239 PECOS PAC ID: 4486175759 Enrollment ID: I20250304001565 |
| Provider Name | Melissa a Ford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528272051 PECOS PAC ID: 4789106089 Enrollment ID: I20250317000780 |
| Provider Name | Wanda Cegers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902440969 PECOS PAC ID: 8123434537 Enrollment ID: I20250320003946 |
| Provider Name | Stephen D Glover |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821812272 PECOS PAC ID: 1456873108 Enrollment ID: I20250321002773 |
| Provider Name | Stephanie L Mayberry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013559855 PECOS PAC ID: 6507388253 Enrollment ID: I20250321002870 |
| Provider Name | Amy C Vance |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831344670 PECOS PAC ID: 0941723423 Enrollment ID: I20250325002802 |
| Provider Name | Margaret Kohlbeck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861204091 PECOS PAC ID: 4789107236 Enrollment ID: I20250326000510 |
| Provider Name | Deja Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316683105 PECOS PAC ID: 8527582121 Enrollment ID: I20250404000695 |
| Provider Name | Tory Skye Elliott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962215400 PECOS PAC ID: 4789108200 Enrollment ID: I20250407001433 |
| Provider Name | Holly Christine Heuer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164012589 PECOS PAC ID: 3375067747 Enrollment ID: I20250407002692 |
| Provider Name | Tiffany Panasewicz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144077876 PECOS PAC ID: 0648794560 Enrollment ID: I20250411002271 |
| Provider Name | Daniel Joseph Ferrer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396554267 PECOS PAC ID: 5890210736 Enrollment ID: I20250423001493 |
| Provider Name | Betty a Spittlemeister |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881491181 PECOS PAC ID: 2163948472 Enrollment ID: I20250430000558 |
| Provider Name | Susan Lee Whitehead |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659634178 PECOS PAC ID: 3072039262 Enrollment ID: I20250430003077 |
| Provider Name | Annette Bale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639775281 PECOS PAC ID: 0941693634 Enrollment ID: I20250509002351 |
| Provider Name | Margaret Isabella Mcclutchy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801560313 PECOS PAC ID: 1557888617 Enrollment ID: I20250512002855 |
| Provider Name | Aurora Mala |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376347930 PECOS PAC ID: 6709304694 Enrollment ID: I20250514002982 |
| Provider Name | Yasmin Karce |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689212995 PECOS PAC ID: 6901324839 Enrollment ID: I20250515000130 |
| Provider Name | Kristina Willmering |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063155307 PECOS PAC ID: 1951829456 Enrollment ID: I20250519001804 |
| Provider Name | Alexandria Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134950967 PECOS PAC ID: 0143749150 Enrollment ID: I20250522002029 |
| Provider Name | Kelly Elizabeth Halpin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568263341 PECOS PAC ID: 7315466323 Enrollment ID: I20250522002048 |
| Provider Name | Bernadette Heitschmidt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750190013 PECOS PAC ID: 1759891153 Enrollment ID: I20250605002767 |
| Provider Name | Jessica Karaway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114659356 PECOS PAC ID: 2668982752 Enrollment ID: I20250609000704 |
| Provider Name | Jazmin Christine Binns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831797224 PECOS PAC ID: 0749791275 Enrollment ID: I20250612002959 |
| Provider Name | Sara Grossbier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629667357 PECOS PAC ID: 5193236800 Enrollment ID: I20250618002117 |
| Provider Name | Martin Howard Tamkin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285954008 PECOS PAC ID: 2567974124 Enrollment ID: I20250620001473 |
| Provider Name | Jessica M Doyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982342739 PECOS PAC ID: 8729590534 Enrollment ID: I20250625003797 |
| Provider Name | Scott E Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619431343 PECOS PAC ID: 8426561085 Enrollment ID: I20250627002091 |
| Provider Name | Emily Gail Beaudry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578351409 PECOS PAC ID: 8628581097 Enrollment ID: I20250630000651 |
| Provider Name | Elizabeth Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093409179 PECOS PAC ID: 1153834379 Enrollment ID: I20250701002605 |
| Provider Name | Shana Koch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922737188 PECOS PAC ID: 9032622956 Enrollment ID: I20250702002184 |
| Provider Name | Jennifer Ellenson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952172272 PECOS PAC ID: 6406360189 Enrollment ID: I20250707000140 |
| Provider Name | Heather Talley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346517281 PECOS PAC ID: 8022522333 Enrollment ID: I20250709001707 |
| Provider Name | Pamela Jean Safran Grzesk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538836135 PECOS PAC ID: 0941715692 Enrollment ID: I20250714000099 |
| Provider Name | Genivieve Salata |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033805189 PECOS PAC ID: 9739694068 Enrollment ID: I20250715002766 |
| Provider Name | Rachel Napierala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316063472 PECOS PAC ID: 7618482829 Enrollment ID: I20250716001999 |
| Provider Name | Heather Hodorowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639747348 PECOS PAC ID: 6406362284 Enrollment ID: I20250718003210 |
| Provider Name | Montaha a Sarsour |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215729603 PECOS PAC ID: 4486160660 Enrollment ID: I20250723003150 |
| Provider Name | Krista Lauren Oelhafen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902479470 PECOS PAC ID: 4880101773 Enrollment ID: I20250725003334 |
| Provider Name | Emma M Fleming |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316661374 PECOS PAC ID: 0648788760 Enrollment ID: I20250731003452 |
| Provider Name | Julie Anne Laubenstein |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144861188 PECOS PAC ID: 6608374996 Enrollment ID: I20250806004125 |
| Provider Name | Sheri a Garcia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497099287 PECOS PAC ID: 9739687930 Enrollment ID: I20250807001957 |
| Provider Name | Amber Lynn Jakubek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679201214 PECOS PAC ID: 6406355577 Enrollment ID: I20250815002599 |
| Provider Name | Alexander Quentin Beal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639959141 PECOS PAC ID: 5294234894 Enrollment ID: I20250820000842 |
| Provider Name | Dereck L Wolfgram |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174093744 PECOS PAC ID: 7618477357 Enrollment ID: I20250826002297 |
| Provider Name | Maya Elizabeth Melchert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790670735 PECOS PAC ID: 3577064864 Enrollment ID: I20250828003414 |
| Provider Name | Samantha Tetzlaff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043783624 PECOS PAC ID: 6406358191 Enrollment ID: I20250903002043 |
| Provider Name | Carol L Ramos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205030905 PECOS PAC ID: 4385147123 Enrollment ID: I20250909004254 |
| Provider Name | Sonia Marta Pinero Lucci |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992137863 PECOS PAC ID: 5193228351 Enrollment ID: I20250912001653 |
| Provider Name | Felix T Mireles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134610827 PECOS PAC ID: 9739683913 Enrollment ID: I20250919001834 |
| Provider Name | Alexandra Dutton Wilk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992410203 PECOS PAC ID: 3274038021 Enrollment ID: I20250924000772 |
| Provider Name | Victoria Cassandra Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679984108 PECOS PAC ID: 0749785210 Enrollment ID: I20250925001284 |
| Provider Name | Cara Elise Mastin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033820014 PECOS PAC ID: 3870098270 Enrollment ID: I20250925004466 |
| Provider Name | Dawn Henkhaus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922829183 PECOS PAC ID: 2860998044 Enrollment ID: I20251006002198 |
| Provider Name | Paula Swartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457030413 PECOS PAC ID: 5698272052 Enrollment ID: I20251010000568 |
| Provider Name | Tana Dahl |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215517990 PECOS PAC ID: 3678060464 Enrollment ID: I20251015001497 |
| Provider Name | Carrie Jean Banaszak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144600149 PECOS PAC ID: 0446747174 Enrollment ID: I20251015003124 |
| Provider Name | Aaron Edward Jacklin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093099921 PECOS PAC ID: 7416446943 Enrollment ID: I20251027000719 |
| Provider Name | Cassandra Lynn Lyles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972324259 PECOS PAC ID: 4183113400 Enrollment ID: I20251028002046 |
| Provider Name | Elizabeth Phipps Walker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417751173 PECOS PAC ID: 5597254854 Enrollment ID: I20251028002900 |
| Provider Name | Taylor M Crouse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174379846 PECOS PAC ID: 3678064607 Enrollment ID: I20251118000525 |
| Provider Name | Jamie M Freund |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366956682 PECOS PAC ID: 6901390624 Enrollment ID: I20251210002744 |
| Provider Name | Kirsten Thiemke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033090063 PECOS PAC ID: 1557855061 Enrollment ID: I20251211002929 |
| Provider Name | Holly J Wonder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790063170 PECOS PAC ID: 7416441589 Enrollment ID: I20251216002033 |
| Provider Name | Shannon Broeker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386488955 PECOS PAC ID: 9234624115 Enrollment ID: I20251218000642 |
| Provider Name | Daniel Phonzie Kaprelian |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285334367 PECOS PAC ID: 9234624180 Enrollment ID: I20251218002447 |
| Provider Name | Justin C Weis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366122053 PECOS PAC ID: 0648766899 Enrollment ID: I20251226001421 |
| Provider Name | Austin Schultz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104707306 PECOS PAC ID: 4385130491 Enrollment ID: I20251229000383 |
| Provider Name | Autumn Rose Schwenn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215897988 PECOS PAC ID: 3779079629 Enrollment ID: I20251231000408 |
| Provider Name | Caroline Awosika |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619782885 PECOS PAC ID: 8325534035 Enrollment ID: I20260102000013 |
| Provider Name | Alexis Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134841455 PECOS PAC ID: 3375919467 Enrollment ID: I20260107003651 |
| Provider Name | Andrew Moon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245697580 PECOS PAC ID: 0042797748 Enrollment ID: I20260123002430 |
| Provider Name | Hannah Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326842394 PECOS PAC ID: 2769961978 Enrollment ID: I20260209001715 |
| Provider Name | Angelique Blanche Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194462911 PECOS PAC ID: 2668951740 Enrollment ID: I20260209003402 |
| Provider Name | Kallyn Heiges |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205608494 PECOS PAC ID: 4688153588 Enrollment ID: I20260211000474 |
| Provider Name | Joseph M Hefter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588243836 PECOS PAC ID: 3476033150 Enrollment ID: I20260213000110 |
| Provider Name | Jonathan Morales Valadez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689366387 PECOS PAC ID: 9133615362 Enrollment ID: I20260218000705 |
| Provider Name | Erica Schad |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174304125 PECOS PAC ID: 1658851522 Enrollment ID: I20260218003027 |
| Provider Name | Yvan Karlos Magana |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407726011 PECOS PAC ID: 0941781751 Enrollment ID: I20260219003323 |
| Provider Name | Madeline Rose Cipriano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518432616 PECOS PAC ID: 0042791881 Enrollment ID: I20260219004463 |
| Provider Name | Bradley Kyle Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386495299 PECOS PAC ID: 5193206480 Enrollment ID: I20260225001125 |
| Provider Name | Kitra C. Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649138561 PECOS PAC ID: 0648751735 Enrollment ID: I20260226001846 |
| Provider Name | Kyle Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700466117 PECOS PAC ID: 1557842481 Enrollment ID: I20260227001813 |
| Provider Name | Kylie Schwabe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588348247 PECOS PAC ID: 2860974789 Enrollment ID: I20260228000815 |
| Provider Name | Alyse Stevens Hamilton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457019192 PECOS PAC ID: 8123500048 Enrollment ID: I20260228000856 |
| Provider Name | Catherine Muich |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992481030 PECOS PAC ID: 2264914019 Enrollment ID: I20260303000343 |
| Provider Name | Christian Lamarr Lemmie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013773183 PECOS PAC ID: 3274016233 Enrollment ID: I20260309002684 |
| Provider Name | Rosa Ciara Snyder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699664185 PECOS PAC ID: 8325521800 Enrollment ID: I20260312002280 |
| Provider Name | Amanda Sue Buschmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588223010 PECOS PAC ID: 0345723557 Enrollment ID: I20260316000616 |
| Provider Name | Christopher Wojnar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558185793 PECOS PAC ID: 3779066964 Enrollment ID: I20260316003341 |
| Provider Name | Meghan S Connors |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174969828 PECOS PAC ID: 3173006368 Enrollment ID: I20260316003582 |
| Provider Name | Jonathan Rosario |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740141340 PECOS PAC ID: 7618450719 Enrollment ID: I20260317000035 |
| Provider Name | Alan Richard Jordan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720008352 PECOS PAC ID: 1052895158 Enrollment ID: I20260317002919 |
| Provider Name | Adah Ssanyu Muwonge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235003161 PECOS PAC ID: 8224512330 Enrollment ID: I20260317003152 |
| Provider Name | Kathleen Schifano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154142495 PECOS PAC ID: 5597249276 Enrollment ID: I20260320000295 |
| Provider Name | Taylor Ann Werlinger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639900996 PECOS PAC ID: 2264916683 Enrollment ID: I20260324000794 |
| Provider Name | Karla Rubi Rojo-lopez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760352330 PECOS PAC ID: 6406331628 Enrollment ID: I20260326000401 |
| Provider Name | Brarysheyia Simpson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003529488 PECOS PAC ID: 7517442536 Enrollment ID: I20260327002219 |
| Provider Name | Jeffrey Flinchem |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346117355 PECOS PAC ID: 9931684651 Enrollment ID: I20260331002907 |
| Provider Name | Brittany N Schwarten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457804833 PECOS PAC ID: 9335624675 Enrollment ID: I20260403001213 |
| Provider Name | Erin Noll Reich Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710835319 PECOS PAC ID: 4688149925 Enrollment ID: I20260406000504 |
| Provider Name | Shannon Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144105958 PECOS PAC ID: 1052886439 Enrollment ID: I20260414000605 |
| Provider Name | Lauren Hardy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174493100 PECOS PAC ID: 5294201943 Enrollment ID: I20260420002140 |
| Provider Name | Andrea Linette Grosskurth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497016752 PECOS PAC ID: 4981986387 Enrollment ID: I20260427002692 |
| Provider Name | Cynthia Ann Naumczik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841349966 PECOS PAC ID: 7416425806 Enrollment ID: I20260504008086 |
| Provider Name | Tanya Lynn Peters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992280218 PECOS PAC ID: 6305315680 Enrollment ID: I20260515001488 |
| Provider Name | Alison E Ho |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043729809 PECOS PAC ID: 4284104746 Enrollment ID: I20260526001660 |
| Provider Name | Jennifer L Larsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427828425 PECOS PAC ID: 2961972435 Enrollment ID: I20260526001819 |
| Provider Name | Tanner Dakota Simpson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083261929 PECOS PAC ID: 8022588524 Enrollment ID: I20260526002707 |
| Provider Name | Kate O Zolandz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114569977 PECOS PAC ID: 2961972013 Enrollment ID: I20260529001082 |
| Provider Name | Erin M Macier |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700056025 PECOS PAC ID: 2163992140 Enrollment ID: I20260601000683 |
| Provider Name | Sally Ann Hand |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417891474 PECOS PAC ID: 3476023383 Enrollment ID: I20260601001934 |
| Provider Name | Jennifer E Blease |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720719834 PECOS PAC ID: 0547730475 Enrollment ID: I20260601002364 |
| Provider Name | Mathew Avery Mayes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255015962 PECOS PAC ID: 7911478813 Enrollment ID: I20260602000744 |
| Provider Name | Monica Marie Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982330445 PECOS PAC ID: 4587135140 Enrollment ID: I20260604000653 |
| Provider Name | Keith R Gaertner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194830414 PECOS PAC ID: 4880165091 Enrollment ID: I20260609001749 |
| Provider Name | Latoya Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487459897 PECOS PAC ID: 5698246627 Enrollment ID: I20260610000557 |
| Provider Name | Beth Ann Strickland |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366792418 PECOS PAC ID: 8628540614 Enrollment ID: I20260610002265 |
| Provider Name | Anna M Banwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508475963 PECOS PAC ID: 7012489727 Enrollment ID: I20260614000072 |
| Provider Name | Sarah Duzell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275177230 PECOS PAC ID: 8527530187 Enrollment ID: I20260615001820 |
| Provider Name | Ericka Joanna Surowaniec |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033742556 PECOS PAC ID: 4486126505 Enrollment ID: I20260618003531 |
| Provider Name | Daniel P Voss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497687321 PECOS PAC ID: 8527531490 Enrollment ID: I20260623000170 |
| Provider Name | Shane Leach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861332827 PECOS PAC ID: 2860965746 Enrollment ID: I20260623000568 |
| Provider Name | Elizabeth M Reinke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174227771 PECOS PAC ID: 1456824366 Enrollment ID: I20260623001392 |
| Provider Name | Amanda Lynn Belsha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598696015 PECOS PAC ID: 0244703064 Enrollment ID: I20260624000540 |
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 |
Wellbrook Recovery Brookfield LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13850 West Capitol Drive Wellbrook Recovery, Brookfield, WI 53005 Phone: 414-867-9579 Fax: 414-409-5150 |
Glass Houses Therapy, LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 15460 W Capitol Dr Ste 210, Brookfield, WI 53005 Phone: 262-748-0525 |
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 |