Individual provider Active NPI

Bojana Verhalen, BS., MA., LPC

  • Counselor
  • Milwaukee, WI
National Provider Identifier
1174812705
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
5232-125 Issued in WI
Practice address
4800 S 10TH St
Milwaukee, WI 53221-2412
Phone
(414) 744-5370
Fax
(414) 744-9052
NPI assigned
Apr 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 5232-125 WI Primary

Addresses

Primary practice location

4800 S 10TH St
Milwaukee, WI 53221-2412

Mailing address

4800 S 10TH St
Milwaukee, WI 53221-2412
Phone (414) 744-5370

Other names 1

  • Bojana Puskar Former name

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 Science, Master of Arts

State licenses

LicenseStateTypeSpecialty
5232-125WIMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1174812705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 S 10TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532212412",
            "telephone_number": "414-744-5370",
            "fax_number": "414-744-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S 10TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532212412",
            "telephone_number": "414-744-5370",
            "fax_number": "414-744-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERHALEN",
        "first_name": "BOJANA",
        "name_prefix": "Ms.",
        "credential": "BS., MA., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "5232-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOJANA",
            "last_name": "PUSKAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 15, 2014; 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.