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N14w23777 Stone Ridge Dr Ste 290 Waukesha WI 53188-1140 | |
| (608) 556-0824 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| 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 |
|---|---|
N14w23777 Stone Ridge Dr Ste 290 Waukesha WI 53188-1140 Ph: (608) 556-0824 | 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 | 11/15/2024 |
| Certification Date | 11/15/2024 |
| 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 |
Allied Counseling Services, S.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2717 N Grandview Blvd Ste 202, Waukesha, WI 53188 Phone: 262-751-5672 Fax: 855-702-2180 | |
Summit Medical Specialists, Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2717 N Grandview Blvd Ste 202, Waukesha, WI 53188 Phone: 262-513-0700 Fax: 262-513-0707 | |
Children's Service Society Of Wisconsin Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 Wisconsin Ave, Suite D, Waukesha, WI 53186 Phone: 262-544-5333 Fax: 262-544-5393 | |
La Casa De Esperanza Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Nw Barstow St, Suite 110, Waukesha, WI 53188 Phone: 262-928-4402 Fax: 262-928-7340 | |
Wisconsin Lutheran Child & Family Service, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E College Ave, Waukesha, WI 53186 Phone: 800-438-1772 Fax: 262-345-5562 |