Matthew Lee Velissaris

Primary specialty

CounselorTaxonomy code 101Y00000X

License

1942-226 Issued in WI

Practice address

4001 W Capitol Dr
Milwaukee, WI 53216-2530

Phone

(414) 759-5193

NPI assigned

Aug 23, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Abg Wellness Group Inc

  • Community/Behavioral Health Agency
  • Milwaukee, WI
  • NPI 1184087389
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1013341221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 W FOND DU LAC AVE",
            "address_2": "M",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162324",
            "telephone_number": "414-871-6122",
            "fax_number": "414-871-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162530",
            "telephone_number": "414-759-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELISSARIS",
        "first_name": "MATTHEW",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-23",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "1942-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Michelle Velasquez, M.S. OTR
• Melina Velcheck, LPC
• Mario Javier Velez, MD
• Anatoliy Velikodanov, APNP
• Jennifer Velikodanov, PHARMACY STUDENT P4
• Velo Pharmacy
• Sarah M Veloskey
• Ana Maria Veloz, MS
• Susan Veloz, OTR
• Precious Venable, CPT, MA

• Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.