Dennice Yavonne Janz, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

1738 Brackett Ave
Eau Claire, WI 54701-4626

Phone

(715) 450-2465

Fax

(715) 514-2116

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dennice Yavonne Cavanaugh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1124140942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 BRACKETT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014626",
            "telephone_number": "715-450-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 BRACKETT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014626",
            "telephone_number": "715-450-2465",
            "fax_number": "715-514-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANZ",
        "first_name": "DENNICE",
        "middle_name": "YAVONNE",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43706500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENNICE",
            "last_name": "CAVANAUGH",
            "middle_name": "YAVONNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joshua James Jagodzinski, DO
• Andrew E Jahoda, MD
• Celestine Jain-Ofoma, M.D.
• Nathaniel S Jalil, MD
• Janus RX LLC
• Leslie Jaquish, LMT
• Heidi Leanne Jarecki, MD
• Rebecca Jarzynski
• Jean J Jasienski, CRNA
• Jared Joseph Jasper, BS

• Marriage & Family Therapist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.