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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 42223600 | 05 |
Other Name | Type Code |
---|---|
Christian Family Counseling | Doing Business As Name - Organization |
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 |
Street Address |
2450 W ROOSEVELT DR |
City | MILWAUKEE |
State | WI |
Zip Code | 53209-6659 |
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 |
Find all providers in zip 53209 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
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 |
Find all providers in MILWAUKEE |
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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.