Fusion Counseling and Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FUSION COUNSELING AND WELLNESS LLC

Practice address

6929 Mariner Dr Ste D
Mount Pleasant, WI 53406

Phone

(262) 672-6614

NPI assigned

Sep 23, 2011

Last updated

Sep 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Bates

Title

Owner

Phone

(262) 672-6610

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janet Vannatta

  • Clinical Social Worker
  • Mount Pleasant, WI
  • NPI 1245516707
  NPD (past)
• Kristy Westbrook

  • Clinical Social Worker
  • Mount Pleasant, WI
  • NPI 1548545890
  NPD (past)

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1417230772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6929 MARINER DR STE D",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "53406",
            "telephone_number": "262-672-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6929 MARINER DR STE D",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "53406",
            "telephone_number": "262-672-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-672-6610"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresenius Medical Care Midwest Dialysis, LLC (Fresenius Medical Care Midwest Racine)
• Ashley C Frey, PT, DPT
• Jason R Friedlander, M.D.
• Katrina Fronberry
• Sara Dakota Fulghum
• G.S. Miceli, DPM, S.C.
• Daniel James Gage, PHYSICAL THERAPIST
• Rachel R Gage, APN
• Carlos R Galvao-Sobrinho, MD, PHD
• Stephanie Garcia

• Clinical Social Worker in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.