Pamela Quezaire, MSE CSAC ICS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1504.11846 Issued in WI

Practice address

Pathways to a Better Life, LLC
13111 Lax Chapel Road
Kiel, WI 53042

Phone

(920) 894-1374

Fax

(920) 894-1373

NPI assigned

Jan 3, 2007

Last updated

Aug 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Pamela Haukeness Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pathways to a Better Life, LLC

  dba Pathways To A Better Life - Kiel Campus 1

  • Substance Abuse Rehabilitation Facility
  • Kiel, WI
  • NPI 1780081174

  Mental Health

  NPD
• Pathways to a Better Life, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Keil, WI
  • NPI 1932771441
  NPD
• Southwoods Counseling Clinic, LLC

  • Mental Health Counselor
  • Eau Claire, WI
  • NPI 1386701514
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1053468207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 STATE ROAD 67",
            "address_2": "PO BOX 347",
            "city": "KIEL",
            "state": "WI",
            "postal_code": "53042",
            "telephone_number": "920-286-4462",
            "fax_number": "920-894-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PATHWAYS TO A BETTER LIFE, LLC",
            "address_2": "13111 LAX CHAPEL ROAD",
            "city": "KIEL",
            "state": "WI",
            "postal_code": "53042",
            "telephone_number": "920-894-1374",
            "fax_number": "920-894-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEZAIRE",
        "first_name": "PAMELA",
        "credential": "MSE CSAC ICS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "1504.11846",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "1504.11846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39363000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "HAUKENESS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• New Holstein Family Dental (Kiel and New Holstein Family Dental)
• Tyler R Olig
• Darla Otto, CSW, MSM, CTACC
• Pathways to a Better Life, LLC (Pathways To A Better Life - Kiel Campus 1)
• David James Pieper, D.D.S.
• Mary Reszczynski, APNP
• Tera Marie Mae Rodriguez, IPHM
• Cynthia Schick, P.T.
• Schleicher Chiropractic, SC
• Michael D Schleicher, D.C.

• Mental Health Counselor in Kiel, WI
• Providers in Kiel, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.