MEDICARE: MS. THEA CS HUNTER CSAC, LPC, ICS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	16187	WI
2	101YP2500X	Professional Counselor	7854	WI

General Provider Information

NPI Number	:	1083045801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. THEA CS HUNTER CSAC, LPC, ICS

Provider Business Mailing Address
First Line	:	5355 ROOT RIVER DR
Second Line	:
City	:	GREENDALE
State	:	WI
Zip	:	53129-2829
Country	:	US
Telephone Number	:	262-914-9787
Fax Number	:

Provider Business Practice Location Address
First Line	:	5355 ROOT RIVER DR
Second Line	:
City	:	GREENDALE
State	:	WI
Zip	:	53129-2829
Country	:	US
Telephone Number	:	262-914-9787
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2013
Last Update Date	:	10/04/2024

Similar Medicare Providers

1891874764 — DARIN A MACCOUX MD
Practice Location Address:

6220 W LOOMIS RD
GREENDALE, WI
53129-2448

Practice Phone: 414-423-0555
Practice Fax: 414-423-8268

1912896275 — PLAYLAB COLLECTIVE, INC
Practice Location Address:

5300 S 76TH ST
GREENDALE, WI
53129-1102

Practice Phone: 262-497-7270
Practice Fax: 877-540-0135

1629073135 — MR. PHILIP WILLIAM BERGOLD PT
Practice Location Address:

5889 RIVERSIDE DR
GREENDALE, WI
53129-2817

Practice Phone: 414-940-7278
Practice Fax: 414-235-8448

1568440253 — POWERBACK REHABILITATION LLC
Practice Location Address:

5700 MOCKINGBIRD LN
GREENDALE, WI
53129-1442

Practice Phone: 414-423-1399
Practice Fax:

1154380764 — KATHLEEN MARIE GOSENHEIMER R.N.
Practice Location Address:

5890 FULHAM CT
GREENDALE, WI
53129-2132

Practice Phone: 414-628-0544
Practice Fax:

1861445819 — MRS. NICOLE JOY SENGER R.N.
Practice Location Address:

5303 MANSFIELD DR
GREENDALE, WI
53129-1222

Practice Phone: 414-423-6433
Practice Fax:

Directions to “ MS. THEA CS HUNTER CSAC, LPC, ICS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.