Individual provider Active NPI

Walter Laux

  • Professional Counselor
  • West Allis, WI
National Provider Identifier
1235480237
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
449689 Issued in WI
Practice address
9401 W Beloit Rd Ste 314
West Allis, WI 53227-4357
Phone
(414) 539-4862
Fax
(414) 240-0761
NPI assigned
Oct 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15918-132 WI
Professional Counselor 101YP2500X 449689 WI Primary

Addresses

Primary practice location

9401 W Beloit Rd Ste 314
West Allis, WI 53227-4357

Mailing address

600 W Virginia St
Ste 203
Milwaukee, WI 53204-1500
Phone (414) 831-4500

Other identifiers 1

IdentifierTypeStateIssuer
100026878MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240126002471 WI Practitioner - Mental Health Counselor 5991158883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15918-132WIMDAddiction (Substance Use Disorder) Counselor
449689WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Bridge Health Clinics & Research Centers, Inc. PastSince May 1, 2012 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": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1235480237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W VIRGINIA ST",
            "address_2": "STE 203",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532041500",
            "telephone_number": "414-831-4500",
            "fax_number": "414-255-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 W BELOIT RD STE 314",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532274357",
            "telephone_number": "414-539-4862",
            "fax_number": "414-240-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUX",
        "first_name": "WALTER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-01",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15918-132",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "449689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100026878",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

Verify at the official NPI Registry.