NPIMap

Organization Active NPI

The Anxiety Center Acquisition, LLC

  • Professional Counselor
  • Brookfield, WI
National Provider Identifier
1043874969
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
THE ANXIETY CENTER ACQUISITION, LLC
Practice address
15850 W Bluemound Rd Ste 208
Brookfield, WI 53005-6007
Phone
(262) 719-5898
Fax
(262) 641-9040
NPI assigned
Apr 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Authorized official

Name
Katherine Kreitzer, LPCNPI 1598012890
Title
Owner
Phone
(262) 719-5898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

15850 W Bluemound Rd Ste 208
Brookfield, WI 53005-6007

Mailing address

15850 W Bluemound Rd Ste 208
Brookfield, WI 53005-6007

Other identifiers 1

IdentifierTypeStateIssuer
1598012890MedicaidWI

National Provider Directory

National Provider Directory

Locations

15850 W Bluemound Rd
Ste 208
Brookfield, WI 53005
Phone (262) 719-5898

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1043874969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15850 W BLUEMOUND RD STE 208",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15850 W BLUEMOUND RD STE 208",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056007",
            "telephone_number": "262-719-5898",
            "fax_number": "262-641-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ANXIETY CENTER ACQUISITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "KREITZER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-719-5898",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598012890",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.