Cornerstone Clinic LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Plover, WI
NPI 1861037293 · NPPES record last updated Jan 20, 2025
Key facts
- NPI
- 1861037293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- CORNERSTONE CLINIC LLC
- Practice address
- 2831 Post Rd Ste 300
Plover, WI 54467-3415 - Phone
- (715) 600-2798
- Fax
- (715) 504-1987
- NPI assigned
- Nov 8, 2019
- Organization subpart
- No
Authorized official
- Name
- Dave Prince
- Title
- Business Manager
- Phone
- (715) 600-2798
Practitioners 21
-
Brenda L Baribeau, LPC
-
Jennifer J Borchardt, LCSW CSAC
-
Jonathan Joseph Cotter, M.D.
-
Heidi Renee Filko, MSW, APSW
-
Demaris Losinski, APSW
-
Lynn Ann Martin, LPC
-
Janelle Prince, LCSW
-
Michele L Rasmussen, MA, LPC
-
Beth Ann Stevenson, PMHNP-BC
-
Chad B Taylor, LPC
-
Frankie Ann Weinberger, P.A.
-
Hannah E Bunting, MSW, LCSW
-
Kessa Ann Erickson, APNP
-
Michelle Schrubbe, PHD
-
Cariesa Barbara Ann Gross, MA, LPC-IT
-
Alyssa Kress, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200122000859 | WI | Part B Supplier - Clinic/Group Practice | 0042645046 |
Receives reassigned benefits from 17 practitioners Practice locations: Plover, WI; Rice Lake, WI |
National Provider Directory
Locations
2831 Post Rd
Ste 300
Plover, WI 54467
Phone (715) 600-2798
2558 Post Rd
Plover, WI 54467
Phone (279) 871-5600
3015 S Main St
Rice Lake, WI 54868
Phone (715) 600-2798
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Integrative Medicine Physician | 202D00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
2831 Post Rd Ste 300
Plover, WI 54467-3415
Mailing address
2831 Post Rd Ste 300
Plover, WI 54467-3415
Phone (715) 600-2798
Other practice location 1
3015 S Main St
Rice Lake, WI 54868-8710
Phone (715) 600-2798
Other providers in Plover, WI
- Doreen Diane Butterfield
- C. Thomas Deroche, DPM, LLC
- Michele Caldwell
- Colleen Hennelly, O.D.
- Compassus Aah of Wisconsin IV, LLC
- Genesis Anne Cratsenberg
- Clare A Cullen
- Joshua Alan Deisinger
- Daniel G. Derezinski
- Christopher Thomas Deroche
All providers in Plover, WI · Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.