| Family Service Agency Of Waukesha County Inc | |
|
2727 N Grandview Blvd Ste 205, Ste 200 Waukesha WI 53188 | |
| (262) 547-5567 | |
| (262) 547-1608 |
| Full Name | Family Service Agency Of Waukesha County Inc |
|---|---|
| Speciality | Counselor |
| Location | 2727 N Grandview Blvd, Waukesha, Wisconsin |
| Authorized Official Name and Position | Laura Cherone (DIRECTOR OF AGENCY DEVELOPMENT) |
| Authorized Official Contact | 2625475567 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Agency Of Waukesha County Inc 2727 N Grandview Blvd Ste 203 Waukesha WI 53188 Ph: (262) 547-5567 | Family Service Agency Of Waukesha County Inc 2727 N Grandview Blvd Ste 205, Ste 200 Waukesha WI 53188 Ph: (262) 547-5567 |
| NPI Number | 1568404671 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 07/18/2022 |
| Certification Date | 07/18/2022 |
| Medicare PECOS PAC ID | 0648168823 |
|---|---|
| Medicare Enrollment ID | O20040309000638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568404671 | NPI | - | NPPES |
| 42158300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Laura Cherone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497767651 PECOS PAC ID: 3072401264 Enrollment ID: I20071011000345 |
| Provider Name | Laura L Pulsifer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760580328 PECOS PAC ID: 2860577343 Enrollment ID: I20080307000300 |
| Provider Name | Elizabeth B Warnes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801809280 PECOS PAC ID: 9133375439 Enrollment ID: I20120801000683 |
| 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 | Shannon Renee Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427647825 PECOS PAC ID: 0941684278 Enrollment ID: I20220905000375 |
| Provider Name | Melissa Carini |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962814780 PECOS PAC ID: 7810330701 Enrollment ID: I20240207003368 |
| Provider Name | Marybeth Banach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760861413 PECOS PAC ID: 7113360033 Enrollment ID: I20240208000051 |
| Provider Name | Karen J Cumblad |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225302888 PECOS PAC ID: 8426491234 Enrollment ID: I20240208003120 |
| Provider Name | Ligia Wipfli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689840142 PECOS PAC ID: 6507031739 Enrollment ID: I20240220003898 |
| Provider Name | Pamela Faye Derby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508081555 PECOS PAC ID: 4486090495 Enrollment ID: I20240313001502 |
| Provider Name | Amy Krumenacher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417323114 PECOS PAC ID: 7113363870 Enrollment ID: I20240315003041 |
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 | |
Catholic Charities Of The Archdiocese Of Milwaukee Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 N East Ave, Waukesha, WI 53186 Phone: 262-547-2463 Fax: 262-547-8002 | |
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 | |
Waukesha County (ccs) Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Airport Rd, Waukesha, WI 53188 Phone: 262-548-7950 Fax: 262-970-4791 | |
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 |