Active NPI
Elizabeth Bakos, M.A.
- Professional Counselor
- Wauwatosa, WI
National Provider Identifier
1225439136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5823
- Practice address
- 1033 N Mayfair Rd
Suite305
Wauwatosa, WI 53226-3442 - Phone
- (608) 445-4668
- NPI assigned
- Sep 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 5823 | WI | Primary |
Addresses
Primary practice location
1033 N Mayfair Rd
Suite305
Wauwatosa, WI 53226-3442
Mailing address
1033 N Mayfair Rd
Suite 305
Wauwatosa, WI 53226-3442
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5823 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Center LLC | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mequon, WI
- NPI 1780755389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668556800000",
"number": "1225439136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1033 N MAYFAIR RD",
"address_2": "SUITE 305",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532263442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1033 N MAYFAIR RD",
"address_2": "SUITE305",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532263442",
"telephone_number": "608-445-4668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKOS",
"first_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-10",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "5823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.