| Washington County Human Services Mental Health Center | |
|
333 E. Washington Street Suite 2100 West Bend WI 53095-2585 | |
| (262) 335-4583 | |
| (262) 335-6827 |
| Full Name | Washington County Human Services Mental Health Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 333 E. Washington Street, West Bend, Wisconsin |
| Authorized Official Name and Position | Eric Diamond (ADMINISTRATOR) |
| Authorized Official Contact | 2623354591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington County Human Services Mental Health Center 333 E. Washington Street Suite 2100 West Bend WI 53095-2585 Ph: (262) 335-4583 | Washington County Human Services Mental Health Center 333 E. Washington Street Suite 2100 West Bend WI 53095-2585 Ph: (262) 335-4583 |
| NPI Number | 1609801778 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 08/11/2015 |
| Medicare PECOS PAC ID | 1951202142 |
|---|---|
| Medicare Enrollment ID | O20040120000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609801778 | NPI | - | NPPES |
| 41760200 | Medicaid | WI | |
| 43071300 | Medicaid | WI | |
| 42140400 | Medicaid | WI | |
| 43422500 | Medicaid | WI | |
| 32976700 | Medicaid | WI | |
| 43107500 | Medicaid | WI |
| Provider Name | Catherine A Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801884317 PECOS PAC ID: 3971510264 Enrollment ID: I20060310000514 |
| Provider Name | Craig J Schoenecker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013920446 PECOS PAC ID: 1658379359 Enrollment ID: I20061113000248 |
| Provider Name | Christopher J Christian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821261272 PECOS PAC ID: 5597806612 Enrollment ID: I20100111000549 |
| Provider Name | Alicia K Leslie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437387958 PECOS PAC ID: 3375858863 Enrollment ID: I20150812008190 |
| Provider Name | Matthew Krasucki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497920995 PECOS PAC ID: 1153640347 Enrollment ID: I20151117002859 |
| Provider Name | Kristin L Woznicki Servi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073051280 PECOS PAC ID: 5193009512 Enrollment ID: I20170303000670 |
| Provider Name | Shelly Gentry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770833881 PECOS PAC ID: 9234402017 Enrollment ID: I20170829003933 |
| Provider Name | Aeron R Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477079242 PECOS PAC ID: 8325314545 Enrollment ID: I20171016002333 |
| Provider Name | Samantha A Sprung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902359839 PECOS PAC ID: 2062754609 Enrollment ID: I20190430001867 |
| Provider Name | Brittni Liebhauser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932633963 PECOS PAC ID: 9739416488 Enrollment ID: I20190805000242 |
| Provider Name | Allie Gavin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891386827 PECOS PAC ID: 5597171702 Enrollment ID: I20210315000756 |
| Provider Name | Kerrie M Mazeika |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457609570 PECOS PAC ID: 5890184907 Enrollment ID: I20211111000626 |
| Provider Name | Travis H Vandebrown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245601772 PECOS PAC ID: 5890142251 Enrollment ID: I20231107003498 |
| Provider Name | Anthony S Tadych |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427592369 PECOS PAC ID: 2769833292 Enrollment ID: I20240109004737 |
| Provider Name | Jonathan L France |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023456175 PECOS PAC ID: 5395196752 Enrollment ID: I20240110001546 |
Wild Hope Counseling & Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 N Main St Ste 204, West Bend, WI 53095 Phone: 262-343-8285 | |
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 | |
Life Space Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 N Main St, Suite 201, West Bend, WI 53095 Phone: 920-960-7232 Fax: 920-923-2736 | |
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 |