LUKE WILD (NPI# 1619414513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 2530-226 | WI | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
10012 W Capitol Dr, Milwaukee, WI 532221338 | 4148104844 |
Street Address |
930 W HISTORIC MITCHELL ST |
City | MILWAUKEE |
State | WI |
Zip Code | 53204-3533 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 53204 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
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. |
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 |
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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.