WISCONSIN LUTHERAN CHILD & FAMILY SERVICE


Address: 2450 W Roosevelt Dr, Milwaukee, WI 53209-6659
Phone: 8004381772

WISCONSIN LUTHERAN CHILD & FAMILY SERVICE (NPI# 1134570112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134570112
Entity Type Organization
Organization Name WISCONSIN LUTHERAN CHILD & FAMILY SERVICE
Other Organization Name CHRISTIAN FAMILY COUNSELING
Practice Address 2450 W Roosevelt Dr
Milwaukee
WI 53209-6659
Mailing Address W175n11120 Stonewood Dr
Germantown
WI 53022-6511
Practice Telephone 8004381772
Practice Fax Number 2622939737
Mailing Telephone 8004381772
Mailing Fax Number 2622939737
Enumeration Date 2016-06-30
Last Update Date 2016-06-30
Authorized Official Name MARK KLUG (CEO)
Authorized Official Telephone 8886859522
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 42223600 05

Other Provider/Organization Names

Other Name Type Code
Christian Family Counseling Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1790202851 Wisconsin Lutheran Child & Family Service Psychologist 2669 N Richards St, Milwaukee, WI 53212-2850 2017-08-29
1891249991 Wisconsin Lutheran Child & Family Service Counselor 304 W Capitol Dr, Milwaukee, WI 53212 2016-08-08
1215380746 Wisconsin Lutheran Child & Family Service Counselor 3040 W Capitol Dr, Milwaukee, WI 53216-2618 2016-07-20
1821449810 Wisconsin Lutheran Child & Family Service Counselor 2107 Tower Rd, Mosinee, WI 54455-8138 2016-06-30
1043661036 Wisconsin Lutheran Child & Family Service Counselor 5300 N Meade St, Appleton, WI 54913-8383 2016-06-30
1639520612 Wisconsin Lutheran Child & Family Service Counselor 3399 Division Rd, Jackson, WI 53037-9707 2016-06-30
1295111417 Wisconsin Lutheran Child & Family Service Psychologist 1200 Oakdale Ave, West St Paul, MN 55118-2601 2015-08-11
1407232150 Wisconsin Lutheran Child & Family Service Marriage & Family Therapist 2229 W Greenfield Ave, Milwaukee, WI 53204-1910 2015-08-05
1316323066 Wisconsin Lutheran Child & Family Service Counselor 3215 N Dr Martin Luther King Dr, Milwaukee, WI 53212-1926 2015-08-05
1881021277 Wisconsin Lutheran Child & Family Service Counselor 2215 N Palmer St, Milwaukee, WI 53212-3242 2013-10-01

Office Location

Street Address 2450 W ROOSEVELT DR
City MILWAUKEE
State WI
Zip Code 53209-6659

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780238253 Niajcia Brookshire Counselor 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 2019-08-01
1740751015 Mary Fuller Home Health Aide 3043 N 29th St., Milwaukee, WI 53209 2018-12-16
1154869410 Jacksonscott2 Skilled Nursing Facility 4573 N. 22nd Street, Milwaukee, WI 53209 2017-02-07
1669910469 Dimera House In Home Supportive Care 4002 W Fairount Ave, Milwaukee, WI 53209 2017-02-01
1891248340 Amy L May Nurse Practitioner 3303 W Good Hope Rd, Milwaukee, WI 53209 2016-08-02
1871980193 Alan R Rosenthal Pharmacist 6930 N Beech Tree Dr, Milwaukee, WI 53209 2015-04-24
1104212380 Reema Shah Student in an Organized Health Care Education/Training Program 2400 W. Villard Ave, Milwaukee, WI 53209 2015-04-14
1336534403 Robert Michael Kitsis Family Medicine 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 2015-04-05
1962891994 Kls Community Outreach Teen Center Consulting and Management L.L.C. Public Health or Welfare 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 2015-01-14
1548659634 Kls Community Outreach Teen Center Consulting and Management L.L.C. Early Intervention Provider Agency 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 2015-01-13
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508475963 Anna Banwell Counselor 710 W Historic Mitchell St Apt 703, Milwaukee, WI 53204-3559 2020-07-30
1225658826 Callie Barfield Counselor 9096 N Tennyson Dr, Milwaukee, WI 53217-1967 2020-04-23
1043849698 Amanda Joann Degner Counselor 329 W National Ave Apt 2, Milwaukee, WI 53204-1702 2020-04-06
1467092320 Christina Manolatos Counselor 3921 N Humboldt Blvd Apt 801, Milwaukee, WI 53212-1365 2020-01-08
1780235267 Toni W Pharm Counselor 8018 W Capitol Dr Ste 206, Milwaukee, WI 53222-1906 2019-09-25
1407417983 Damira Grady Counselor 11303 W Appleton Ln, Milwaukee, WI 53225-1200 2019-06-25
1265091664 Drew David Dryssen Counselor 8800 W Bluemound Rd, Milwaukee, WI 53226-4626 2019-06-10
1013574409 Patricia Michelle Carrington Counselor 1409 E Capitol Dr Ste 202, Milwaukee, WI 53211-1959 2019-05-22
1730647959 Andrea Renee Zulkowski Counselor 3732 W Wisconsin Ave Ste 320, Milwaukee, WI 53208-3166 2019-03-06
1831662063 Svenja Michela Rauchstaedt-schneider Counselor 5719 W Fountain Ave, Milwaukee, WI 53223-4227 2019-01-10
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Competitor

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City MILWAUKEE
Zip Code 53209

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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