1518809847 NPI number — HAUPT COUNSELING, LLC

Table of content: DR. JOLEE BOSTICK RUTHERFORD MD (NPI 1316987969)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518809847 NPI number — HAUPT COUNSELING, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HAUPT COUNSELING, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518809847
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/07/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 134
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLOVER
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
54467-0134
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
715-544-8783
Provider Business Mailing Address Fax Number:
715-544-8783

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2422 OKRAY AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLOVER
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54467-2771
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
715-544-8783
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/07/2026

Additional Information

Authorized Official

Authorized Official Last Name:
HAUPT
Authorized Official First Name:
KATHRYN
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/CLINICAL SOCIAL WORKER
Authorized Official Telephone Number:
715-544-8783

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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