Cheryl Ann Eifler

Individual provider Active NPI Mental Health Counselor · Oshkosh, WI

NPI 1285835751 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1285835751
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
2017-125 (WI)
Practice address
515 S Washburn St Ste 104
Oshkosh, WI 54904-7951
Phone
(920) 236-8570
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2017-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center of Oshkosh, Inc Past Accepting new patients
Ascension NE Wisconsin, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2017-125 WI Yes

Addresses

Primary practice location

515 S Washburn St Ste 104
Oshkosh, WI 54904-7951

Mailing address

515 S Washburn St Ste 104
Oshkosh, WI 54904-7951
Phone (920) 236-8570

Other identifiers

IdentifierTypeStateIssuer
39691000MedicaidWI

Other providers in Oshkosh, WI

All providers in Oshkosh, WI · Mental Health Counselor in Wisconsin

Sources for this page

Verify at the official NPI Registry.