REBECCA RAE BREITRICK (NPI# 1477069458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477069458 |
| Entity Type | Individual |
| Full Name | REBECCA RAE BREITRICK |
| Other Name | REBECCA RAE BUETTNER |
| Credential | LPC-IT |
| Practice Address |
620 S 76th St Milwaukee WI 53214-1599 |
| Mailing Address |
6640 N 110th St Milwaukee WI 53224-5038 |
| Practice Telephone | 4144531400 |
| Practice Fax Number | 4144532538 |
| Mailing Telephone | 4146286016 |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2019-10-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6889 | WI | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
2393 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1477069458 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6640 N 110th St, Milwaukee, WI 532245038 | 4146286016 | |
| E7475 Rawhide Rd, New London, WI 549619025 | 8773009101 | 9205312686 |
| Street Address |
620 S 76TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53214-1599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063496131 | Eldon J Swenson | General Practice | 620 S 76th St, Suite 240, Milwaukee, WI 53214-1599 | 2005-12-02 |
| 1255958468 | Melissa Nicole Allen | Counselor | 620 S 76th St, Milwaukee, WI 53214-1599 | 2020-07-03 |
| 1699391490 | Margo Elaine Diamond-robertson | Social Worker | 620 S 76th St, Milwaukee, WI 53214-1599 | 2020-06-18 |
| 1497378947 | Georgia Rose Black | Counselor | 620 S 76th St, Milwaukee, WI 53214-1599 | 2020-05-19 |
| 1629607726 | Pamela Ramsey | Counselor | 620 S 76th St, Milwaukee, WI 53214-1599 | 2020-04-02 |
| 1558993105 | Melanie Waschbisch | Counselor | 620 S 76th St, Milwaukee, WI 53214-1599 | 2020-02-11 |
| 1265901045 | Alecia Corbett | Social Worker | 620 S 76th St, Milwaukee, WI 53214-1599 | 2018-11-21 |
| 1205327814 | Meagan Elizabeth Langfield | Counselor | 620 S 76th St, Milwaukee, WI 53214-1599 | 2018-05-21 |
| 1669980017 | Elizabeth A Mcdaris | Social Worker | 620 S 76th St, Milwaukee, WI 53214-1599 | 2018-01-19 |
| 1619420833 | Myra Werner | Social Worker | 620 S 76th St, 120, Milwaukee, WI 53214-1599 | 2016-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740740208 | Melanie Figueroa | Counselor | West Milwaukee Ctc, 1610 Miller Park Way, West Milwaukee, WI 53214 | 2019-03-21 |
| 1619403011 | Lea Salome Denny | Counselor | 8626b W Greenfield Ave, Suite B300, West Allis, WI 53214 | 2017-05-04 |
| 1891148318 | West Allis Prescription Center Inc | Pharmacy | 6737 W Washington Ave, Suite 1100, West Allis, WI 53214 | 2016-07-20 |
| 1316390495 | Kristina Overlee | Nurse Practitioner | 6737 W. Washington Street, Suite 2150, West Allis, WI 53214 | 2016-07-13 |
| 1801239843 | Daniel Anthony Cichy | Pharmacist | 10101 W Greenfield Ave Ste 130, West Allis, WI 53214 | 2013-04-09 |
| 1295072544 | Wisconsin Vision, Inc. | Optometrist | 1220 Miller Park Way, West Milwaukee, WI 53214 | 2013-01-07 |
| 1831457720 | Kevin Konieczka | Physical Therapist | 1224 Miller Parkway, Milwaukee, WI 53214 | 2012-04-27 |
| 1497031843 | Jill Elizabeth Gerou | Registered Nurse | 8420 West Greenfield Ave, Apartment #7, West Allis, WI 53214 | 2011-10-31 |
| 1700176815 | Carolyn Hasek | Counselor | 1126 S 70th St Ste 112-113, West Allis, WI 53214 | 2011-04-10 |
| 1972802775 | Barbara Smith | Licensed Practical Nurse | 651 S 63 St, Apt1, Milwaukee, WI 53214 | 2011-03-18 |
| Find all providers in zip 53214 | ||||
| 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.