CHRISTIAN LIFE COUNSELING LLC (NPI# 1659466860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659466860 |
| Entity Type | Organization |
| Organization Name | CHRISTIAN LIFE COUNSELING LLC |
| Other Organization Name | CHRISTIAN LIFE COUNSELING |
| Practice Address |
12630 W North Ave Bldg E Brookfield WI 53005-4626 |
| Practice Telephone | 2627851008 |
| Practice Fax Number | 2624623187 |
| Mailing Telephone | 2627851008 |
| Mailing Fax Number | 2624623187 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2018-04-26 |
| Authorized Official Name | JENNIFER MENGO (ADMINISTRATOR) |
| Authorized Official Telephone | 2627851008 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Christian Life Counseling | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| W175n11163 Stonewood Dr Ste 202, Germantown, WI 530226502 | 2627851008 | 2624623187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023056009 | Christian Life Counseling LLC | Counselor | 12630 W North Ave Bldg E, Brookfield, WI 53005 | 2006-06-03 |
| Street Address |
12630 W NORTH AVE BLDG E |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-4626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023056009 | Christian Life Counseling LLC | Counselor | 12630 W North Ave Bldg E, Brookfield, WI 53005 | 2006-06-03 |
| 1023632635 | Emily Kathryn Olson | Counselor | 12630 W North Ave Bldg E, Brookfield, WI 53005-4626 | 2020-05-31 |
| 1447769039 | Michael Schachtner | Counselor | 12630 W North Ave Bldg E, Brookfield, WI 53005-4626 | 2017-09-26 |
| 1912435314 | Heidi S Hemling | Counselor | 12630 W North Ave Bldg E, Brookfield, WI 53005-4626 | 2017-05-30 |
| 1619352184 | Alison Jacobs | Counselor | 12630 W North Ave Bldg E, Brookfield, WI 53005-4626 | 2015-07-27 |
| 1275882003 | Margaret Mary Renz | Counselor | 12630 W North Ave Bldg E, Brookfield, WI 53005 | 2012-09-07 |
| 1134264369 | Linda A. Zacharias | Social Worker | 12630 W North Ave Bldg E, Brookfield, WI 53005-4626 | 2007-02-21 |
| 1871696252 | Sandra S King | Counselor | 12630 W North Ave Bldg E, Brookfield, WI 53005 | 2006-09-07 |
| 1982611265 | Judith A Otto | Social Worker | 12630 W North Ave Bldg E, Brookfield, WI 53005 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942660600 | Allison Sidel | Psychologist | 304 Federal Rd Ste 301, Brookfield, CT 06804-2423 | 2016-02-24 |
| 1568784114 | Rebecca Lynn Thompson | Psychologist | 150 N Sunny Slope Rd, Suite #100, Brookfield, WI 53005-4806 | 2010-02-24 |
| 1861602609 | Douglas Eugene Scarth | Psychologist | 2 Old New Milford Rd Ste 1e, Brookfield, CT 06804-2426 | 2007-05-23 |
| 1932255833 | Henry Barron | Psychologist | 2224 Twin Pond Rd, Brookfield, VT 05036-9540 | 2007-01-25 |
| 1669537015 | Lynne Berendsen | Psychologist | 13035 W Bluemound Rd, Suite 100, Brookfield, WI 53005-8001 | 2006-12-26 |
| 1356401475 | Howard Joel Haven | Psychologist | 12690 W North Avenue, Elmbrook Family Counseling Center, Brookfield, WI 53005 | 2006-12-11 |
| 1922172634 | Judy A Eager | Psychologist | 13965 W Burleigh Rd, Suite 203, Brookfield, WI 53005-3064 | 2006-11-17 |
| 1649361775 | Kim Marie Gorecki | Psychologist | 19275 W Capitol Dr Ste 200, Brookfield, WI 53045-2734 | 2006-09-27 |
| 1427002211 | Eric D Seybold | Psychologist | 12690 W North Ave, Brookfield, WI 53005-4636 | 2006-05-19 |
| 1194230599 | Jacquelyn Bogdanov | Psychologist | 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 | 2017-12-06 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
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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.