MS. JACQUELINE MAE HALVERSON (NPI# 1891992749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891992749 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE MAE HALVERSON |
| Credential | ATR-BC AND SADC |
| Practice Address |
1233 N. Mayfair Rd 206 Wauwatosa WI 53226-3255 |
| Mailing Address |
1714 S 55th St W Milwaukee WI 53214-5250 |
| Practice Telephone | 4143021233 |
| Practice Fax Number | 4143021234 |
| Mailing Telephone | 4145461922 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | 63-036 | WI | Behavioral Health & Social Service Providers |
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11505-131 | WI | Behavioral Health & Social Service Providers |
| Street Address |
1233 N. MAYFAIR RD 206 |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53226-3255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| 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 |
|---|---|---|---|---|
| 1073152435 | John A Castro | Counselor | 2222 N Mayfair Rd Ste 200, Wauwatosa, WI 53226-2263 | 2020-01-03 |
| 1235578709 | Aasiyah Clark | Counselor | 2222 N Mayfair Rd, Wauwatosa, WI 53226-2262 | 2013-06-18 |
| 1114162187 | Benjamin M Rader | Counselor | 933 N Mayfair Rd Ste 101, Wauwatosa, WI 53226-3432 | 2008-12-04 |
| 1518173772 | Jenna Lynn Behrens | Counselor | 7332 W State St Lower Level, Wauwatosa, WI 53213-2766 | 2007-05-15 |
| 1174650857 | Jessica Ann Osinski | Counselor | 2600 N Mayfair Rd Ste 305, Wauwatosa, WI 53226-1303 | 2007-02-28 |
| 1508414491 | Alaina Kroes | Counselor | 2380 N 124th St Ste 101, Wauwatosa, WI 53226-1071 | 2019-09-03 |
| 1932666534 | Bethany Williamson | Counselor | 2222 N Mayfair Rd Ste 120, Wauwatosa, WI 53226-2262 | 2019-03-01 |
| 1154898252 | Jordan Menefee Chevako | Counselor | 2600 N Mayfair Rd Ste 650, Wauwatosa, WI 53226-1322 | 2018-10-26 |
| 1609257989 | Rosalina Solorzano | Counselor | 10045 W Lisbon Ave, Wauwatosa, WI 53222-2446 | 2015-06-12 |
| 1700211331 | Emily Elese Grendahl Risinger | Counselor | 3015 N 114th St, Wauwatosa, WI 53222-4208 | 2013-09-13 |
| Find all providers in WAUWATOSA | ||||
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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.