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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 39668000 | 05 |
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 |
Street Address |
6040 W LISBON AVE SUITE 102 |
City | MILWAUKEE |
State | WI |
Zip Code | 53210-2116 |
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 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700499514 | Mckenzie Lisa Lambeck | Non-emergency Medical Transport (VAN) | 3016a N 36th St, Milwaukee, WI 53210 | 2020-08-31 |
1922572312 | Walter's Second Chance of Milwaukee, LLC. | In Home Supportive Care | 3043 N. 29th Street, Milwaukee, WI 53210 | 2019-01-18 |
1407353469 | Angie F Caballero | Assisted Living Facility | 5918 N 62nd Street, Milwaukee, WI 53210 | 2018-04-06 |
1689182636 | Kimberly Casey | Counselor | 5325 W.burleigh, Milwaukee, WI 53210 | 2018-01-11 |
1336663640 | Daron Mosby | Counselor | 2643 N 55th St., 2643 N 55th St., Milwaukee, WI 53210 | 2017-07-28 |
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 |
1033595319 | Wisconsin Lutheran Child & Family Service Inc. | Social Worker | 207 North Sherman Blvd, Milwaukee, WI 53210 | 2015-08-10 |
1346633112 | Quiana Davis | Licensed Practical Nurse | 2478 North 34th Street, Milwaukee, WI 53210 | 2015-03-18 |
Find all providers in zip 53210 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
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 |
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.