KIDS IN TRANSITION (NPI# 1639317167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639317167 |
| Entity Type | Organization |
| Organization Name | KIDS IN TRANSITION |
| Practice Address |
6314 N 104th St Milwaukee WI 53225-1408 |
| Practice Telephone | 4146883062 |
| Practice Fax Number | 4142778916 |
| Mailing Telephone | 4146883062 |
| Mailing Fax Number | 4142778916 |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2009-01-21 |
| Authorized Official Name | MR. CLEON EDWARD SUGGS (CLINICAL SUPERVISOR) |
| Authorized Official Telephone | 4146883062 |
| Authorized Official Credential | C.S.A.C.,I.C.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 10600132 | WI | Agencies |
| Y | 251S00000X | Community/Behavioral Health | 11828134 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39387800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700379054 | Kids In Transition | Psychiatric Residential Treatment Facility | 1000 Atlantic Ave Ste 402, Camden, NJ 08104-1132 | 2018-06-12 |
| 1629222005 | Kids In Transition | Community/Behavioral Health | 1000 Atlantic Ave, 4th Floor, Camden, NJ 08104-1132 | 2008-11-11 |
| Street Address |
6314 N 104TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53225-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023351947 | Word of Hope Ministries | Counselor | 6314 N 104th St, Milwaukee, WI 53225-1408 | 2013-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194088682 | Waulonda Renee Williams | Registered Nurse | 5847 North 91st Street, Milwaukee, WI 53225 | 2012-06-19 |
| 1447519152 | Sandy Xiong | Licensed Practical Nurse | 5656 N 86th Place, Milwaukee, WI 53225 | 2012-05-15 |
| 1992939292 | Marzie Lee Satterwhite | Physical Therapy Assistant | 8534 W Mill Road, Milwaukee, WI 53225 | 2009-05-14 |
| 1538319157 | Katherine Monica Block | Speech-Language Pathologist | 5015 N. 106th St., Milwaukee, WI 53225 | 2008-09-19 |
| 1932329992 | Jennifer Marie Eggert | Speech-Language Pathologist | 9688 W Appleton Ave, Milwaukee, WI 53225 | 2007-05-01 |
| 1396830501 | Milwaukee Pain Treatment Services Sc | Anesthesiology | 5400 N 118th Court, Milwaukee, WI 53225 | 2006-10-04 |
| 1962518050 | Kenneth John Kowalski | Dentist | 4878 N Swan Road, Milwaukee, WI 53225 | 2006-08-22 |
| 1447290325 | Catherine Mae Jenkins | Registered Nurse | 5650 North 97th Street, Milwaukee, WI 53225 | 2006-06-07 |
| 1942249578 | David Irving Stein | Specialist | 5400 N 118tth Court, Milwaukee, WI 53225 | 2006-06-06 |
| 1720057482 | Herslof's, Inc | Optometrist | 12000 W Carmen Ave, Milwaukee, WI 53225 | 2006-03-15 |
| Find all providers in zip 53225 | ||||
| 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.