ROGER MACK PUMPHREY


Address: 6040 W Lisbon Ave, Suite 102, Milwaukee, WI 53210-2116
Phone: 4148719111

ROGER MACK PUMPHREY (NPI# 1669672945) 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) 1669672945
Entity Type Individual
Full Name ROGER MACK PUMPHREY
Credential MA, LPC
Practice Address 6040 W Lisbon Ave
Suite 102
Milwaukee
WI 53210-2116
Mailing Address 7481 N Navajo Rd
Fox Point
WI 53217-3463
Practice Telephone 4148719111
Practice Fax Number 4148719121
Mailing Telephone 4142286419
Enumeration Date 2007-07-24
Last Update Date 2007-07-24
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
1328-125 WI Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
1157-132 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 39668000 05

Other Providers ROGER PUMPHREY

NPI Name Taxonomy Address Enumeration
1144396847 Roger D Pumphrey Psychiatry & Neurology 100 E Saint Vrain St, Ste 200, Colorado Springs, CO 80903-4940 2006-11-27

Office Location

Street Address 6040 W LISBON AVE
SUITE 102
City MILWAUKEE
State WI
Zip Code 53210-2116

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902869290 Nancy Hall Counselor 6040 W Lisbon Ave, Suite 102, Milwaukee, WI 53210-2116 2006-04-08
1033626338 Colleen Runge Counselor 6040 W Lisbon Ave, Milwaukee, WI 53210-2116 2018-01-08
1043751902 Rec Enterprise LLC Case Management 6040 W Lisbon Ave, Ste B6, Milwaukee, WI 53210-2116 2017-03-12
1437608734 Active Home Care, LLC Home Health 6040 W Lisbon Ave, Suite 104, Milwaukee, WI 53210-2116 2016-09-27
1124475124 Jessica Bohmann Counselor 6040 W Lisbon Ave, Milwaukee, WI 53210-2116 2016-05-19
1609296516 Ashley Mccoy-rampson Smallwood Counselor 6040 W Lisbon Ave, Suite 103, Milwaukee, WI 53210-2116 2014-04-17
1205263159 Sullivan Medical Clinic, LLC Internal Medicine 6040 W Lisbon Ave, Suite 200, Milwaukee, WI 53210-2116 2013-10-07
1033554373 Our Daily Bread Community Outreach Center, Inc Case Management 6040 W Lisbon Ave, Suite 203, Milwaukee, WI 53210-2116 2013-04-30
1700125622 Acacia Mental Health Intermediate Care Facility, Mental Illness 6040 W Lisbon Ave, Milwaukee, WI 53210-2116 2013-02-13
1164760054 Terri Lynn Walker Registered Nurse 6040 W Lisbon Ave, Suite 102, Milwaukee, WI 53210-2116 2013-01-28
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1881117174 Advance Home Care, LLC In Home Supportive Care 6001 W Center St Ste 98ll, Milwaukee, WI 53210 2017-07-19
1285181735 Aurora Family Services Clinic/Center 3200 W. Highland Blvd, Aurora Family Services, Milwaukee, WI 53210 2016-09-01
1447625264 Kimberly Beckham Registered Nurse 3040 N 40th Street, Milwaukee, WI 53210 2015-12-04
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609481001 Beth Leanna Counselor Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 2020-09-11
1477167658 Aleksandra Miles Steinert Counselor 2025 E Greenwich Ave Unit 119, Milwaukee, WI 53211-4428 2020-09-03
1003420597 Joshua A. Larson Counselor 316 N Milwaukee St Ste 325, Milwaukee, WI 53202-5895 2020-09-02
1407465701 Lashana Marie Vance Counselor 1311 S 93rd St, Milwaukee, WI 53214-2714 2020-07-23
1295358430 Karmelita Moore Counselor 620 N 76th St, Milwaukee, WI 53213-3508 2020-05-22
1245871557 Neyel Powell Counselor 1849 N Martin Luther King Dr Ste 101, Milwaukee, WI 53212-3639 2019-10-08
1891255782 Demetrius Levance Anderson Sr. Counselor 7732 N 80th St, Milwaukee, WI 53223-3810 2019-03-25
1639642382 Shaquita Glenn Counselor 1845 N Farwell Ave Ste 301, Milwaukee, WI 53202-1715 2019-01-05
1992274070 Amy Lynn Geyser Counselor 204 E Capitol Dr Ste 100, Milwaukee, WI 53212-1200 2018-11-18
1467931691 The Salvation Army - Wisconsin and Upper Michigan Counselor 1730 N 7th Street, Milwaukee, WI 53205 2018-08-08
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Competitor

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City MILWAUKEE
Zip Code 53210

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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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