Active NPI
Leann Vice-Reshel, B.A.
- Professional Counselor
- Milwaukee, WI
National Provider Identifier
1053674085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6176
- Practice address
- 5433 W Fond Du Lac Ave
Milwaukee, WI 53216-1382 - Phone
- (414) 228-4800
- Fax
- (414) 277-8939
- NPI assigned
- Jun 25, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6176 | WI | Primary |
Addresses
Primary practice location
5433 W Fond Du Lac Ave
Milwaukee, WI 53216-1382
Mailing address
9000 W Wisconsin Ave # Ms 958
Milwaukee, WI 53226-4874
Phone (414) 266-7615
Other practice location 1
4855 S Moorland Rd
New Berlin, WI 53151-7494
Phone (414) 228-4800
Other practice location 2
4655 N Port Washington Rd
Glendale, WI 53212-1004
Phone (414) 228-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053674085 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1053674085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE # MS 958",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-266-7615",
"fax_number": "414-266-6238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5433 W FOND DU LAC AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532161382",
"telephone_number": "414-228-4800",
"fax_number": "414-277-8939"
}
],
"practiceLocations": [
{
"address_1": "4855 S Moorland Rd",
"address_purpose": "LOCATION",
"city": "New Berlin",
"state": "WI",
"postal_code": "531517494",
"country_code": "US",
"telephone_number": "414-228-4800",
"fax_number": "414-425-9803",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4655 N Port Washington Rd",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "WI",
"postal_code": "532121004",
"country_code": "US",
"telephone_number": "414-228-4800",
"fax_number": "414-247-1875",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VICE-RESHEL",
"first_name": "LEANN",
"name_prefix": "Miss",
"credential": "B.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-25",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "6176",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053674085",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.