Active NPI
Charles F Lawler, MSW, LMFT
- Marriage & Family Therapist
- West Allis, WI
National Provider Identifier
1013094911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 708-124
- Practice address
- 1126 S. 70TH Street
Suite S-507
West Allis, WI 53214 - Phone
- (414) 727-2789
- Fax
- (414) 476-8695
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 708-124 | WI | Primary |
Addresses
Primary practice location
1126 S. 70TH Street
Suite S-507
West Allis, WI 53214
Mailing address
1126 S. 70TH Street
Suite S-507
West Allis, WI 53214
Phone (414) 727-2789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40969000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2428 N Grandview Blvd
Suite 101
Waukesha, WI 53188-6906
Phone (262) 259-4100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 708-124 | WI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness West LLC | Current | Accepting new patients |
Locations
2428 N Grandview Blvd
Ste 101
Waukesha, WI 53188
Phone (262) 259-4100
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waukesha, WI
- NPI 1306569629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1013094911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1126 S. 70TH STREET",
"address_2": "SUITE S-507",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "53214",
"telephone_number": "414-727-2789",
"fax_number": "414-476-8695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1126 S. 70TH STREET",
"address_2": "SUITE S-507",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "53214",
"telephone_number": "414-727-2789",
"fax_number": "414-476-8695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWLER",
"first_name": "CHARLES",
"middle_name": "F",
"credential": "MSW, LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "708-124",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40969000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.