The Evolving Chair Counseling and Consulting Agency

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

6098-125 Issued in WI

Legal business name

THE EVOLVING CHAIR COUNSELING AND CONSULTING AGENCY

Practice address

3100 N 78TH St
Milwaukee, WI 53222-3916

Phone

(414) 395-0037

NPI assigned

Jan 17, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Lakiesha Russell, LPCNPI 1609272418

Title

President/Child & Family Therapist

Phone

(414) 395-0037

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Lakiesha Russell, LPC-IT

  • Professional Counselor
  • Milwaukee, WI
  • NPI 1609272418
  NPD Authorized official

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1194233718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 W FLORIST AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532181850",
            "telephone_number": "414-748-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N 78TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532223916",
            "telephone_number": "414-395-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EVOLVING CHAIR COUNSELING AND CONSULTING AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "LAKIESHA",
        "authorized_official_title_or_position": "PRESIDENT/CHILD & FAMILY THERAPIST",
        "authorized_official_telephone_number": "414-395-0037",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "6098-125",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "6098-125",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WI",
            "license": "6098-125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.