Advanced Therapeutic Counseling and Family Services Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

7252123 Issued in WI

Legal business name

ADVANCED THERAPEUTIC COUNSELING AND FAMILY SERVICES INC

Practice address

155 E Capitol Dr
Hartland, WI 53029-2134

Phone

(262) 210-1952

NPI assigned

Aug 23, 2007

Last updated

Nov 14, 2008By 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

Dr. Dawn Marie D'Amico, AM, LCSW, PHDNPI 1336280668

Title

President

Phone

(262) 210-1952

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dawn Marie D'Amico, LCSW, PHD

  • Clinical Social Worker
  • Hartland, WI
  • NPI 1336280668
  NPD (past) Authorized official

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1104019058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E CAPITOL DR",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292134",
            "telephone_number": "262-210-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E CAPITOL DR",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292134",
            "telephone_number": "262-210-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED THERAPEUTIC COUNSELING AND FAMILY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "D'AMICO",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-210-1952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AM, LCSW, PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "7252123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.