Christos Ministries Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2774-123 Issued in WI

Legal business name

CHRISTOS MINISTRIES COUNSELING

Practice address

12970 W Bluemound Rd
Suite 105
Elm Grove, WI 53122-2607

Phone

(262) 787-2904

Fax

(262) 787-2909

NPI assigned

Dec 10, 2007

Last updated

Dec 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shelly R Lund, LCSW

Title

Clinical Social Worker

Phone

(262) 787-2904

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1104009414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12970 W. BLUEMOUND RD.",
            "address_2": "SUITE 105",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "53122",
            "telephone_number": "262-787-2904",
            "fax_number": "262-787-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12970 W BLUEMOUND RD",
            "address_2": "SUITE 105",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222607",
            "telephone_number": "262-787-2904",
            "fax_number": "262-787-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOS MINISTRIES COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "262-787-2904",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2774-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rene Ann Burgoyne, MS, ATRL-BC
• Marcy Cepulis, LMT
• Alexis Chapman
• Christos Counseling
• Christos Family Ministries (Christos Counseling)
• Erica Conley, PHARMD, BCPS
• Heidi Lynn Conto, LCSW
• Cornerstone Caregiving East LLC (Cornerstone Caregiving)
• Teresa Rose Coste, LCSW
• Donna Crain

• Clinical Social Worker in Elm Grove, WI
• Providers in Elm Grove, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.