Active NPI
Ronald John Houssaye, LMFT
- Marriage & Family Therapist
- Milwaukee, WI
National Provider Identifier
1225283575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 725-124
- Practice address
- 6040 W Lisbon Ave
#102
Milwaukee, WI 53210-2116 - Phone
- (414) 871-9111
- NPI assigned
- Nov 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 725-124 | WI | Primary |
Addresses
Primary practice location
6040 W Lisbon Ave
#102
Milwaukee, WI 53210-2116
Mailing address
6199 N River Trail Dr
Milwaukee, WI 53225-1029
Phone (414) 446-4991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43592800 | Medicaid | WI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 725-124 | WI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227830400000",
"number": "1225283575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6199 N RIVER TRAIL DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532251029",
"telephone_number": "414-446-4991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6040 W LISBON AVE",
"address_2": "#102",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532102116",
"telephone_number": "414-871-9111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSSAYE",
"first_name": "RONALD",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-28",
"last_updated": "2008-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "725-124",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43592800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}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 Nov 28, 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.