Active NPI
Bernard King
- Addiction (Substance Use Disorder) Counselor
- Waukesha, WI
National Provider Identifier
1205760352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 21071-130
- Practice address
- S22W22660 Broadway Ste 5
Waukesha, WI 53186-8100 - Phone
- (262) 933-4242
- Fax
- (414) 247-9004
- NPI assigned
- Jun 11, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 21071-130 | WI | Primary |
Addresses
Primary practice location
S22W22660 Broadway Ste 5
Waukesha, WI 53186-8100
Mailing address
S22W22660 Broadway Ste 5
Waukesha, WI 53186-8100
Phone (262) 933-4242
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denoon Recovery LLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1205760352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "S22W22660 BROADWAY STE 5",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531868100",
"telephone_number": "262-933-4242",
"fax_number": "414-247-9004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "S22W22660 BROADWAY STE 5",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531868100",
"telephone_number": "262-933-4242",
"fax_number": "414-247-9004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "BERNARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-11",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "21071-130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.