| Uplands Counseling Associates, Inc. | |
|
1118 Professional Dr Dodgeville WI 53533-1176 | |
| (608) 935-2838 | |
| (608) 935-9227 |
| Full Name | Uplands Counseling Associates, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1118 Professional Dr, Dodgeville, Wisconsin |
| Authorized Official Name and Position | Jean Ann Warrior (SHAREHOLDER/VICE PRESIDENT) |
| Authorized Official Contact | 6089352838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uplands Counseling Associates, Inc. 1118 Professional Dr Dodgeville WI 53533-1176 Ph: (608) 935-2838 | Uplands Counseling Associates, Inc. 1118 Professional Dr Dodgeville WI 53533-1176 Ph: (608) 935-2838 |
| NPI Number | 1770599078 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 11/22/2013 |
| Medicare PECOS PAC ID | 4981635653 |
|---|---|
| Medicare Enrollment ID | O20050823000739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770599078 | NPI | - | NPPES |
| 42200400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Charles J Hodulik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770517898 PECOS PAC ID: 1254233224 Enrollment ID: I20040121001120 |
| Provider Name | Myrna Faye Solganick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871530394 PECOS PAC ID: 3971516964 Enrollment ID: I20060714000237 |
| Provider Name | Ruth M Waters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235236373 PECOS PAC ID: 4183624588 Enrollment ID: I20070109000444 |
| Provider Name | Elizabeth A Booth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699982694 PECOS PAC ID: 6608916192 Enrollment ID: I20091214000530 |
| Provider Name | Lori Kuntz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316916117 PECOS PAC ID: 9830229103 Enrollment ID: I20100611000872 |
| Provider Name | Hayley N Shilling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558739300 PECOS PAC ID: 1456661297 Enrollment ID: I20151109000127 |
| Provider Name | Jacqueline S Landess |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497066351 PECOS PAC ID: 9436447406 Enrollment ID: I20191008003262 |
| Provider Name | Nancy Kottke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386288124 PECOS PAC ID: 1557774924 Enrollment ID: I20201231001084 |
| Provider Name | Nicole M Kaiser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184051807 PECOS PAC ID: 1850791732 Enrollment ID: I20210615000781 |
| Provider Name | Erin Bartnick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821537127 PECOS PAC ID: 5597041640 Enrollment ID: I20221129002186 |
| Provider Name | David Wilsher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780882530 PECOS PAC ID: 9234369372 Enrollment ID: I20231228001483 |
| Provider Name | Marcia Roum Brue |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538499835 PECOS PAC ID: 2769825249 Enrollment ID: I20240212003523 |
T. Quest,inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3238 Spring Valley Rd, Dodgeville, WI 53533 Phone: 608-588-5578 |