Organization Active NPI

Alliance Individual & Family Services

  • Community/Behavioral Health Agency
  • Milwaukee, WI
National Provider Identifier
1235485012
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2975 Issued in WI
Legal business name
ALLIANCE INDIVIDUAL & FAMILY SERVICES
Practice address
5600 W Brown Deer Rd
Suite 216
Milwaukee, WI 53223-2311
Phone
(414) 355-5594
Fax
(414) 751-5166
NPI assigned
Jul 30, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Alfreda Mitchell, LMFT
Title
Administrator
Phone
(414) 355-5594

Practitioners 2

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

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2975 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

5600 W Brown Deer Rd
Suite 216
Milwaukee, WI 53223-2311

Mailing address

PO Box 16513
Milwaukee, WI 53216-0513
Phone (414) 355-5594

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
2975OtherWIDEPARTMENT OF QUALITY ASSURANCE CERTIFICATION

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 24, 2014.

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1235485012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16513",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532160513",
            "telephone_number": "414-355-5594",
            "fax_number": "414-751-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W BROWN DEER RD",
            "address_2": "SUITE 216",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532232311",
            "telephone_number": "414-355-5594",
            "fax_number": "414-751-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE INDIVIDUAL & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ALFREDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-355-5594",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "2975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF QUALITY ASSURANCE CERTIFICATION",
            "identifier": "2975",
            "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 Mar 24, 2014; 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.