LUKE WILD


Address: 930 W Historic Mitchell St, Milwaukee, WI 53204-3533
Phone: 4143839526

LUKE WILD (NPI# 1619414513) 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) 1619414513
Entity Type Individual
Full Name LUKE WILD
Credential LPC-IT
Practice Address 930 W Historic Mitchell St
Milwaukee
WI 53204-3533
Practice Telephone 4143839526
Mailing Telephone 4143839526
Enumeration Date 2017-01-30
Last Update Date 2020-04-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor 2530-226 WI Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
10012 W Capitol Dr, Milwaukee, WI 532221338 4148104844

Office Location

Street Address 930 W HISTORIC MITCHELL ST
City MILWAUKEE
State WI
Zip Code 53204-3533

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033184759 Paul Ginkel Obstetrics & Gynecology 930 W Historic Mitchell St, Milwaukee, WI 53204-3533 2006-02-17
1619595568 Alaina Jane Hanks Counselor 930 W Historic Mitchell St, Milwaukee, WI 53204-3533 2020-07-08
1184192965 Daniel Lee Preston Counselor 930 W Historic Mitchell St, Milwaukee, WI 53204-3533 2018-11-09
1285100222 Winifred L Butler Social Worker 930 W Historic Mitchell St, Milwaukee, WI 53204-3533 2018-10-17
1003322728 Claudia H Weiland Dental Hygienist 930 W Historic Mitchell St, Milwaukee, WI 53204-3533 2017-12-18
1710498514 Gerald L Ignace Indian Dental Center, LLC Dentist 930 W Historic Mitchell St, Milwaukee, WI 53204-3533 2017-10-19
1487171054 Gerald L. Ignace Indian Health Center, Inc. Pharmacy 930 W Historic Mitchell St, Milwaukee, WI 53204-3533 2017-08-24
1487180444 Loren Rendino Dietitian, Registered 930 W Historic Mitchell St, Milwaukee, WI 53204-3533 2017-05-11
1023542933 Lydia Biehr Nurse Practitioner 930 W Historic Mitchell St, Milwaukee, WI 53204-3533 2017-04-18
1841746443 Dionna Mcferrin Nurse Practitioner 930 W Historic Mitchell St, Milwaukee, WI 53204-3533 2016-09-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528423290 Blue Ribbon Healthcare LLC Health Maintenance Organization 1743 South1st Street, Milwaukee, WI 53204 2015-12-23
1215336599 Marsha Vann Counselor 1028 N 9th St, Milwaukee, WI 53204 2014-08-22
1891109260 Melissa Bendever Counselor 1111 South 6th Street, Milwaukee, WI 53204 2014-06-13
1942585823 Theresa Marie Hintze Counselor 600 W Virginia Atlas Ste 203, Milwaukee, WI 53204 2011-10-11
1922395151 Palmas & Ram Rudra LLC Chiropractor 1247 S. Cesar E. Chaves Drive, Milwaukee, WI 53204 2011-07-08
1225355183 Victoria A White Family Medicine 16th Street Community Health Center, 1032 S Cesar E. Chavez Drive, Milwaukee, WI 53204 2010-04-30
1174850499 Dnt Associates Inc. Dentist 710 W. Historic Mitchell St., Mitchell Street Dental, Milwaukee, WI 53204 2009-11-06
1851559124 Michael L Kitzinger Social Worker 1201 W Historic Mitchell St, Milwaukee, WI 53204 2008-05-23
1083778781 Douglas Ralph Higbie Psychologist 634 W Mitchell St, Milwaukee, WI 53204 2006-12-20
1013019413 Romeo C Lo Md Internal Medicine 1672 S 9th St, 2nd Floor, Milwaukee, WI 53204 2006-09-05
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528672326 Myeshia Cunningham Counselor 3936 N 29th St, Milwaukee, WI 53216-2639 2020-08-31
1235751447 Luann Weik Counselor Childrens Hospital of Wi Genetics Center, 8915 W Connell Ct, Sta 716, Milwaukee, WI 53226-5322 2020-05-11
1811547334 Jessica Ann Coffey Counselor 1849 N Dr Martin Luther King Jr Dr Ste 101, Milwaukee, WI 53212-3639 2019-09-17
1003468711 Findley Foundation, Inc Counselor 530 S 11th St Ste 300, Milwaukee, WI 53204-1203 2019-07-12
1447816624 Daniella Marie Curbelo Counselor 1849 N Dr Martin Luther King Jr Dr, Milwaukee, WI 53212-3639 2019-05-14
1164085205 Mary Sue Daase Bowen Counselor 2821 N 4th Street, Milwaukee, WI 53212 2019-04-15
1417418427 Melissa Christine Badertscher Counselor 2808 S 60th St, Milwaukee, WI 53219-3158 2019-03-31
1437622974 Chelsey Davis Counselor 3511 N 39th St, Milwaukee, WI 53216-3413 2019-01-08
1720584865 Jeffrey Alan Hill Counselor 1933 W Grange Ave, Milwaukee, WI 53221-4363 2018-04-05
1184136988 Samantha Ann Chesney Counselor 5000 W National Ave Ste 3100, Milwaukee, WI 53295-0001 2017-11-02
Find all providers in MILWAUKEE

Competitor

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City MILWAUKEE
Zip Code 53204

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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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