| Empyrean Ventures Inc | |
|
N14w23777 Stone Ridge Dr Ste 290 Waukesha WI 53188-1140 | |
| (608) 556-0824 | |
| Not Available |
| Full Name | Empyrean Ventures Inc |
|---|---|
| Speciality | Social Worker |
| Location | N14w23777 Stone Ridge Dr Ste 290, Waukesha, Wisconsin |
| Authorized Official Name and Position | Kelly Kuehl (CLINIC DIRECTOR) |
| Authorized Official Contact | 6085560824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empyrean Ventures Inc N14w23777 Stone Ridge Dr Ste 290 Waukesha WI 53188-1140 Ph: (608) 556-0824 | Empyrean Ventures Inc N14w23777 Stone Ridge Dr Ste 290 Waukesha WI 53188-1140 Ph: (608) 556-0824 |
| NPI Number | 1801637228 |
|---|---|
| Provider Enumeration Date | 06/03/2024 |
| Last Update Date | 05/21/2025 |
| Certification Date | 05/21/2025 |
| Medicare PECOS PAC ID | 9537600382 |
|---|---|
| Medicare Enrollment ID | O20240919001772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801637228 | NPI | - | NPPES |
| Provider Name | Kelly L Kuehl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366740649 PECOS PAC ID: 9335485515 Enrollment ID: I20190109000144 |
| Provider Name | Dawn A Reese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326242090 PECOS PAC ID: 2769717818 Enrollment ID: I20190711000585 |
| Provider Name | Kristen A Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992287452 PECOS PAC ID: 6709273311 Enrollment ID: I20220429001416 |
| Provider Name | Caitlin Mary Wheeler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679317580 PECOS PAC ID: 3274074042 Enrollment ID: I20240919002663 |
| Provider Name | Meghan L Ludowissi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730597386 PECOS PAC ID: 9931640737 Enrollment ID: I20240919003855 |
| Provider Name | Diane Katherine Heighway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043822406 PECOS PAC ID: 0042751877 Enrollment ID: I20240920000760 |
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