| Waukesha County | |
|
514 Riverview Ave Waukesha WI 53188-3632 | |
| (262) 548-7399 | |
| (262) 970-6696 |
| Full Name | Waukesha County |
|---|---|
| Speciality | Case Management |
| Location | 514 Riverview Ave, Waukesha, Wisconsin |
| Authorized Official Name and Position | David M Derosier (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2628968431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waukesha County 514 Riverview Ave Waukesha WI 53188-3631 Ph: (262) 548-7399 | Waukesha County 514 Riverview Ave Waukesha WI 53188-3632 Ph: (262) 548-7399 |
| NPI Number | 1740403146 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 11/10/2025 |
| Certification Date | 11/10/2025 |
| Medicare PECOS PAC ID | 3971405481 |
|---|---|
| Medicare Enrollment ID | O20040124000130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740403146 | NPI | - | NPPES |
| 10063326 | Medicaid | WI | |
| 32976100 | Medicaid | WI | |
| 43422400 | Medicaid | WI | |
| 41760800 | Medicaid | WV | |
| 43077000 | Medicaid | WI | |
| 10063300 | Medicaid | WI | |
| 32816300 | Medicaid | WI | |
| 41760800 | Medicaid | WI | |
| 42138400 | Medicaid | WI | |
| 41861400 | Medicaid | WI |
| Provider Name | Zeba Sami |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295889046 PECOS PAC ID: 0143114124 Enrollment ID: I20040211000085 |
| Provider Name | Mohammad S Mallick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689607798 PECOS PAC ID: 6103711015 Enrollment ID: I20040219000296 |
| Provider Name | Jeffrey T Follansbee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023091824 PECOS PAC ID: 4486542636 Enrollment ID: I20040309000445 |
| Provider Name | Herbert George Roehrich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811032378 PECOS PAC ID: 7810985215 Enrollment ID: I20040504001243 |
| Provider Name | James G Freiburger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609829860 PECOS PAC ID: 6709788110 Enrollment ID: I20041022000413 |
| Provider Name | James L Rutherford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518022268 PECOS PAC ID: 7719932615 Enrollment ID: I20050314000695 |
| Provider Name | Rita F Lofy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437212891 PECOS PAC ID: 8921053083 Enrollment ID: I20050322000444 |
| Provider Name | Cary Jay Kohlenberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427134089 PECOS PAC ID: 3971574674 Enrollment ID: I20050414000425 |
| Provider Name | Amy B Weast |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912292145 PECOS PAC ID: 7113942913 Enrollment ID: I20051011000604 |
| Provider Name | Tamahra M Baines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891749156 PECOS PAC ID: 4981605177 Enrollment ID: I20070131000350 |
| Provider Name | Manfred M Kreuzpaintner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144391582 PECOS PAC ID: 1850483033 Enrollment ID: I20070817000007 |
| Provider Name | Jean Oelschlager |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518989417 PECOS PAC ID: 6204915077 Enrollment ID: I20080505000631 |
| Provider Name | Parag R Panchal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275584823 PECOS PAC ID: 6305902404 Enrollment ID: I20090225000317 |
| Provider Name | Christopher J Christian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821261272 PECOS PAC ID: 5597806612 Enrollment ID: I20100111000549 |
| Provider Name | Joseph P Ogrady |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619920394 PECOS PAC ID: 1456483544 Enrollment ID: I20100726000560 |
| Provider Name | Rajesh Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194800557 PECOS PAC ID: 2567356124 Enrollment ID: I20101018001000 |
| Provider Name | Rada Malinovic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760531701 PECOS PAC ID: 5698969368 Enrollment ID: I20101027000739 |
| Provider Name | Todd C Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871730242 PECOS PAC ID: 3779767249 Enrollment ID: I20110707000542 |
| Provider Name | Maria Elena Perez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619072170 PECOS PAC ID: 6103096722 Enrollment ID: I20110908002030 |
| Provider Name | John M Valdes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710091640 PECOS PAC ID: 5698688869 Enrollment ID: I20111118000332 |
| Provider Name | Gary K Schnell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093700288 PECOS PAC ID: 2365491271 Enrollment ID: I20120125000922 |
| Provider Name | Gobind Kang-chahal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265533392 PECOS PAC ID: 2668464199 Enrollment ID: I20120720000292 |
| Provider Name | Marie L Toole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366774663 PECOS PAC ID: 1254586043 Enrollment ID: I20130228000114 |
| Provider Name | Shawn E Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609166131 PECOS PAC ID: 2769628536 Enrollment ID: I20130424000125 |
| Provider Name | Lori Mcilroy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023268737 PECOS PAC ID: 6103057104 Enrollment ID: I20140314000878 |
| Provider Name | Mollie J Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467880641 PECOS PAC ID: 7416188966 Enrollment ID: I20140326000165 |
| Provider Name | Rebecca N Thierfelder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801234851 PECOS PAC ID: 5698086585 Enrollment ID: I20150618001983 |
| Provider Name | Deborah E Pichler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497017057 PECOS PAC ID: 5193039360 Enrollment ID: I20150731015464 |
| Provider Name | Jessica Juneau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891163234 PECOS PAC ID: 1254649387 Enrollment ID: I20151008002844 |
| Provider Name | Matthew Krasucki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497920995 PECOS PAC ID: 1153640347 Enrollment ID: I20151117002859 |
| Provider Name | Ashley E Wojtecki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205257979 PECOS PAC ID: 7719289800 Enrollment ID: I20160106001850 |
| Provider Name | Krin S Kramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770976136 PECOS PAC ID: 7517262892 Enrollment ID: I20160224001701 |
| Provider Name | Mercy A Mahaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760882229 PECOS PAC ID: 9133424468 Enrollment ID: I20160225000189 |
| Provider Name | Danielle Weber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689919672 PECOS PAC ID: 9739487745 Enrollment ID: I20160407000608 |
| Provider Name | Melissa A Geason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821452095 PECOS PAC ID: 2769780303 Enrollment ID: I20160414000459 |
| Provider Name | Claudia Jean Ochalek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619991536 PECOS PAC ID: 8224337712 Enrollment ID: I20160505000009 |
| Provider Name | Jillian M O'grady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821467986 PECOS PAC ID: 8224328216 Enrollment ID: I20160603000254 |
| Provider Name | Isha Salva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801819016 PECOS PAC ID: 2466469218 Enrollment ID: I20160823001935 |
| Provider Name | Mary E Neff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407264047 PECOS PAC ID: 3971883422 Enrollment ID: I20161209001899 |
| Provider Name | William Seymour |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184717555 PECOS PAC ID: 5799751632 Enrollment ID: I20170320000622 |
| Provider Name | Thomas William Towey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538371232 PECOS PAC ID: 3173808391 Enrollment ID: I20170329002862 |
| Provider Name | Leah Matthews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043502982 PECOS PAC ID: 5799058392 Enrollment ID: I20170901001750 |
| Provider Name | Eric John Monticello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558816306 PECOS PAC ID: 4688961980 Enrollment ID: I20171227002019 |
| Provider Name | Mary Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669995411 PECOS PAC ID: 2062771272 Enrollment ID: I20180116002216 |
| Provider Name | Lauren Koster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417404674 PECOS PAC ID: 7214285816 Enrollment ID: I20180730001213 |
| Provider Name | Karen Ann Wergin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447737531 PECOS PAC ID: 9830433846 Enrollment ID: I20181203000897 |
| Provider Name | Amanda Huber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578011300 PECOS PAC ID: 0840535209 Enrollment ID: I20181213001306 |
| Provider Name | Samantha R Lavarda |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407162340 PECOS PAC ID: 4183962020 Enrollment ID: I20190219000766 |
| Provider Name | Chaz Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467802645 PECOS PAC ID: 2860788114 Enrollment ID: I20191213000758 |
| Provider Name | David C Poehlmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124182126 PECOS PAC ID: 7012344575 Enrollment ID: I20200221000981 |
| Provider Name | Anna Terese Tuomi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306476452 PECOS PAC ID: 2567883325 Enrollment ID: I20200603000125 |
| Provider Name | Danielle Jo Geraci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558875971 PECOS PAC ID: 2163834797 Enrollment ID: I20201223001294 |
| Provider Name | James M Billings |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528563400 PECOS PAC ID: 1557782406 Enrollment ID: I20210708000594 |
| Provider Name | Debra Check Janisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740950260 PECOS PAC ID: 3375932585 Enrollment ID: I20211109002834 |
| Provider Name | Melissa Hellen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689131534 PECOS PAC ID: 1850780990 Enrollment ID: I20211111001685 |
| Provider Name | Ashley Altreuter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114683356 PECOS PAC ID: 2961891643 Enrollment ID: I20211118001630 |
| Provider Name | Victoria L Fueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548893993 PECOS PAC ID: 7810381761 Enrollment ID: I20220218001662 |
| Provider Name | Ariella Emunah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205836996 PECOS PAC ID: 8224052774 Enrollment ID: I20220512001206 |
| Provider Name | Darryl Brian Kabins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518069079 PECOS PAC ID: 8224138672 Enrollment ID: I20220520001233 |
| Provider Name | Elizabeth Amanda Tinsley |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1518527639 PECOS PAC ID: 5395115554 Enrollment ID: I20230104000787 |
| Provider Name | Andrew Kordus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285167031 PECOS PAC ID: 5092054304 Enrollment ID: I20230203002527 |
| Provider Name | Brittney Hilgendorf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720743842 PECOS PAC ID: 5294108106 Enrollment ID: I20230223001617 |
| Provider Name | Kevin Hansen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184245326 PECOS PAC ID: 8729464821 Enrollment ID: I20230807002863 |
| Provider Name | Patricia Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811357544 PECOS PAC ID: 5698064756 Enrollment ID: I20230822003331 |
| Provider Name | Brea Sharon Lopez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730242819 PECOS PAC ID: 5496105199 Enrollment ID: I20231221000262 |
| Provider Name | Jon Arthur Toppen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255677563 PECOS PAC ID: 4385094952 Enrollment ID: I20231221003441 |
| Provider Name | Catherine Elaine Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629577440 PECOS PAC ID: 4880044478 Enrollment ID: I20231222000046 |
| Provider Name | Jennifer Lynn Wrucke |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871819169 PECOS PAC ID: 1557711009 Enrollment ID: I20231222003011 |
| Provider Name | Candice M Scoville |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619629995 PECOS PAC ID: 7517317928 Enrollment ID: I20231228000086 |
| Provider Name | Marisa Berry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679195218 PECOS PAC ID: 6204287469 Enrollment ID: I20240111004036 |
| Provider Name | Aquila Lesko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467039644 PECOS PAC ID: 2163875436 Enrollment ID: I20240202001429 |
| Provider Name | Marissa A Gaedtke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629755889 PECOS PAC ID: 0042655573 Enrollment ID: I20240223003267 |
| Provider Name | Holly Numan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043924293 PECOS PAC ID: 4880039890 Enrollment ID: I20240229002916 |
| Provider Name | Joy S Malloy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851455364 PECOS PAC ID: 7012358666 Enrollment ID: I20240514000767 |
| Provider Name | Kristen M Barron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144990094 PECOS PAC ID: 4284170432 Enrollment ID: I20240724000292 |
| Provider Name | Lauren Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205343050 PECOS PAC ID: 4880130665 Enrollment ID: I20240729003193 |
| Provider Name | Makinna Leigh Mcginnis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972163129 PECOS PAC ID: 8527507649 Enrollment ID: I20240903001874 |
| Provider Name | Kristen Lungren-rabideau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629802673 PECOS PAC ID: 6507307782 Enrollment ID: I20240916003420 |
| Provider Name | Jennifer Laurie Smaglick Volz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932809837 PECOS PAC ID: 4587199450 Enrollment ID: I20241202001653 |
| Provider Name | Rachel A Feller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003516923 PECOS PAC ID: 6103355094 Enrollment ID: I20250122001202 |
| Provider Name | Madeline E Reinke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720717168 PECOS PAC ID: 7911427778 Enrollment ID: I20250224001287 |
| Provider Name | Hannah E Walters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306600184 PECOS PAC ID: 7911425756 Enrollment ID: I20250515002807 |
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 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 |