MARQUETTE UNIVERSITY (NPI# 1528208170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528208170 |
| Entity Type | Organization |
| Organization Name | MARQUETTE UNIVERSITY |
| Other Organization Name | MARQUETTE 7CS COMMUNITY COUNSELING CLINIC |
| Practice Address |
561 N 15th St Room 171a Milwaukee WI 53233-2237 |
| Mailing Address |
561 N. 15 Street Room 171a Milwaukee WI 53233 |
| Practice Telephone | 4142884556 |
| Practice Fax Number | 4142886100 |
| Mailing Telephone | 4142884556 |
| Mailing Fax Number | 4142886100 |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2009-02-23 |
| Authorized Official Name | MR. BRIAN SHOUP (CHIEF OF OPERATIONS) |
| Authorized Official Telephone | 4142887378 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | WI | Agencies |
| Other Name | Type Code |
|---|---|
| Marquette 7Cs Community Counseling Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629556592 | Marquette University | Audiologist | 604 N 16th St Rm 223, Milwaukee, WI 53233-2117 | 2018-08-02 |
| 1396020194 | Marquette University | Physical Therapist | 604 N 16th St Rm 215, Milwaukee, WI 53233 | 2011-10-13 |
| 1467882811 | Marquette University | Dental Hygienist | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2013-11-21 |
| 1750400735 | Marquette University | Clinic/Center | 1452 N 7th St, 3rd Floor, Milwaukee, WI 53205-2301 | 2007-03-28 |
| 1013937499 | Marquette University | Dentist | 1801 W Wisconsin Ave, Suite 145 B, Milwaukee, WI 53233-2186 | 2006-07-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Marquette University | 1250 W. Wisconsin Avenue, Suite 421, Milwaukee, WI 53233 |
| Oklahoma Business Registrations | MARQUETTE UNIVERSITY | Marc Lee, President, Po Box 201706, Denver, CO 80220 |
| Street Address |
561 N 15TH ST ROOM 171A |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53233-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720263577 | Jordan Charboneau | Counselor | 561 N 15th St, Marquette University 7cs Community Counseling Clinics, Milwaukee, WI 53233-2237 | 2007-12-28 |
| 1285962118 | Mary Maddocks | Counselor | 561 N 15th St, Room 171a, Milwaukee, WI 53233-2237 | 2009-12-04 |
| 1194958538 | Darrell R Stone | Counselor | 561 N 15th St, Milwaukee, WI 53233-2237 | 2009-09-02 |
| 1619110012 | Kip Cameron Kussman | Counselor | 561 N 15th St, 171a, Milwaukee, WI 53233-2237 | 2009-04-14 |
| 1679713572 | Shawna Renee Picard | Counselor | 561 N 15th St, 171a, Milwaukee, WI 53233-2237 | 2009-03-05 |
| 1790925295 | Bridget Cochran | Counselor | 561 N 15th St, 171a, Milwaukee, WI 53233-2237 | 2009-02-24 |
| 1538309257 | Andrea Schenkoske | Counselor | 561 N 15th St, Milwaukee, WI 53233-2237 | 2009-02-21 |
| 1871730242 | Todd Cole Campbell | Psychologist | 561 N 15th St, Rm 150 Schroeder Complex Marquette University, Milwaukee, WI 53233-2237 | 2009-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
| 1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
| 1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
| 1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
| 1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
| 1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
| Find all providers in zip 53233 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968990 | Zoran Jovicic | Community/Behavioral Health | 3239 S 58th St Unit 104, Milwaukee, WI 53219-4365 | 2020-10-08 |
| 1548816580 | Latara Williams | Community/Behavioral Health | 2447 N 50th St, Milwaukee, WI 53210-2815 | 2019-08-15 |
| 1942856091 | Kennedy's Circle of Wellness LLC | Community/Behavioral Health | 3614 W North Ave, Milwaukee, WI 53208-1416 | 2019-08-14 |
| 1205391828 | Jerome Pitchford | Community/Behavioral Health | 1220 W Atkinson Ave, Milwaukee, WI 53206-3024 | 2019-02-07 |
| 1194233718 | The Evolving Chair Counseling and Consulting Agency | Community/Behavioral Health | 3100 N 78th St, Milwaukee, WI 53222-3916 | 2018-01-17 |
| 1316453905 | D.a.a.n.i Professional Counseling Service LLC | Community/Behavioral Health | 2943 N 52nd St, Milwaukee, WI 53210-1610 | 2017-12-19 |
| 1932654845 | The Thresholds | Community/Behavioral Health | 6815 W Capitol Dr # 305, Milwaukee, WI 53216-2070 | 2016-08-20 |
| 1801341144 | Fly Philanthropy Inc | Community/Behavioral Health | 3352 N Palmer St, Milwaukee, WI 53212-1541 | 2016-08-16 |
| 1659726545 | Pathway Youth & Famiy Services | Community/Behavioral Health | 3879 N Port Washington Rd, Milwaukee, WI 53212-1180 | 2016-04-27 |
| 1528413671 | Adventures In Play, LLC | Community/Behavioral Health | 2118 E Kenilworth Pl, Lowr, Milwaukee, WI 53202-1327 | 2016-04-26 |
| 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.