| Kettle Moraine Counseling Llc | |
|
400 W River Dr West Bend WI 53090-1567 | |
| (262) 334-4340 | |
| (262) 334-4341 |
| Full Name | Kettle Moraine Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 W River Dr, West Bend, Wisconsin |
| Authorized Official Name and Position | Devona Lynn Marshall (OWNER/DIRECTOR) |
| Authorized Official Contact | 2623344340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kettle Moraine Counseling Llc 400 W River Dr West Bend WI 53090-1567 Ph: (262) 334-4340 | Kettle Moraine Counseling Llc 400 W River Dr West Bend WI 53090-1567 Ph: (262) 334-4340 |
| NPI Number | 1568790954 |
|---|---|
| Provider Enumeration Date | 11/24/2009 |
| Last Update Date | 01/14/2020 |
| Certification Date | 01/14/2020 |
| Medicare PECOS PAC ID | 8527353747 |
|---|---|
| Medicare Enrollment ID | O20200416001123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568790954 | NPI | - | NPPES |
| Provider Name | Catherine A Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801884317 PECOS PAC ID: 3971510264 Enrollment ID: I20060310000514 |
| Provider Name | Marlene M Hetzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164575015 PECOS PAC ID: 4981702438 Enrollment ID: I20070606000340 |
| Provider Name | Elizabeth G Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417084559 PECOS PAC ID: 0941434047 Enrollment ID: I20131003000138 |
| Provider Name | Jaime Gunderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164955878 PECOS PAC ID: 5092109652 Enrollment ID: I20220224000317 |
| Provider Name | Natalie Marie Eddy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770917957 PECOS PAC ID: 5092165712 Enrollment ID: I20231221000868 |
| Provider Name | Devona Lynn Marshall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740396241 PECOS PAC ID: 6800181025 Enrollment ID: I20231227001902 |
| Provider Name | Rebecca Whiting |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194068346 PECOS PAC ID: 1456702869 Enrollment ID: I20240110003206 |
| Provider Name | Diane Schauble |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093197170 PECOS PAC ID: 3173974409 Enrollment ID: I20240110004126 |
| Provider Name | Chandell Angelica Hintzke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396085759 PECOS PAC ID: 0244682359 Enrollment ID: I20240113000395 |
| Provider Name | Jennifer Skinner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063779700 PECOS PAC ID: 0547612509 Enrollment ID: I20240116002278 |
| Provider Name | Michael Daniel Schreiner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316419435 PECOS PAC ID: 2466899216 Enrollment ID: I20240328001484 |
| Provider Name | Helayne H Burkette |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497930036 PECOS PAC ID: 3870931686 Enrollment ID: I20240329000111 |
| Provider Name | Linda Jeanne Martenet |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992297568 PECOS PAC ID: 3779921507 Enrollment ID: I20240329001004 |
| Provider Name | Alexandra Nicole Paul |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902562069 PECOS PAC ID: 2466890207 Enrollment ID: I20240329001197 |
| Provider Name | Julie Marie Carpenter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134414543 PECOS PAC ID: 4880032309 Enrollment ID: I20240403002204 |
| Provider Name | Christina M Lachner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700151636 PECOS PAC ID: 3870931108 Enrollment ID: I20240405002007 |
| Provider Name | Chloe Schulz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073096707 PECOS PAC ID: 0345680674 Enrollment ID: I20240502003058 |
| Provider Name | Alexander Demetrio Anderegg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396352852 PECOS PAC ID: 2567802895 Enrollment ID: I20240502003279 |
| Provider Name | Julianne K Morrison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093046823 PECOS PAC ID: 8426499062 Enrollment ID: I20240514000116 |
| Provider Name | Meghan Rose Eisenbraun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073233458 PECOS PAC ID: 0547704793 Enrollment ID: I20240628003245 |
| Provider Name | Laquita M Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346751914 PECOS PAC ID: 4486199619 Enrollment ID: I20240712000421 |
| Provider Name | Lisa Oliver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790080570 PECOS PAC ID: 8426596404 Enrollment ID: I20240821003694 |
| Provider Name | Serena Bye |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811628688 PECOS PAC ID: 9638619471 Enrollment ID: I20240909000800 |
| Provider Name | Clare Anna Conlisk-bobula |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912739319 PECOS PAC ID: 1557894227 Enrollment ID: I20241101003522 |
| Provider Name | Alexander Gruber Marshall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750955316 PECOS PAC ID: 1355878687 Enrollment ID: I20241226001605 |
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Genesis Behavioral Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1626 Clarence Ct, West Bend, WI 53095 Phone: 262-338-8611 Fax: 262-338-3367 | |
Fresh Perspective Psychotherapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2395 W Washington St Ste 202, West Bend, WI 53095 Phone: 262-689-9203 | |
Washington County Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 E Washington St, Suite 2100, West Bend, WI 53095 Phone: 262-335-4545 Fax: 262-335-6827 | |
Aro Counseling Centers, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1622 Chestnut St, West Bend, WI 53095 Phone: 262-338-9498 Fax: 262-338-9506 | |
Delta Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 N Main St Ste F, West Bend, WI 53095 Phone: 262-236-7102 | |
Newberry Group, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 S Main St, Ste. B, West Bend, WI 53095 Phone: 262-338-1900 Fax: 262-338-1837 |