Kelley K Emerson-Quarne, MSW

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

1445 N 4TH St
New Richmond, WI 54017-1063

Phone

(715) 246-6991

NPI assigned

Mar 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Collaborative Counseling LLCGroup PAC ID 3678711900, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Collaborative Counseling LLC

  • Mental Health Counselor
  • Maple Grove, MN
  • NPI 1598034324

  WI

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639209141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 N 4TH ST",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171063",
            "telephone_number": "715-246-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 N 4TH ST",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171063",
            "telephone_number": "715-246-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON-QUARNE",
        "first_name": "KELLEY",
        "middle_name": "K",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Josephine Dorn, MS, LPC
• Benjamin Ward Dummer, MD
• Melissa Jean Dyshaw, D.P.T.
• Jean Anna Edwards, M.S.T. CCC-SLP
• Katherine Ellis, PT
• Sally Jo Emerson, RN
• Enhanced Eye Care LLC
• Ericksons Diversified LLC (Family Fresh Market Pharmacy)
• Essential Eyecare, LLC
• Every Voice Matters Speech and Feeding Therapy LLC

• Community/Behavioral Health Agency in New Richmond, WI
• Providers in New Richmond, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.