Organization Active NPI

Milwaukee Mental Health and Consulting , LLC

  • Social Worker
  • Milwaukee, WI
National Provider Identifier
1245081728
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
MILWAUKEE MENTAL HEALTH AND CONSULTING , LLC
Practice address
3642 S 35TH St
Milwaukee, WI 53221-1004
Phone
(414) 939-5690
Fax
(262) 293-9777
NPI assigned
Apr 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Sarah Raquel Benitez, LCSWNPI 1184142630
Title
Owner, Counselor
Phone
(757) 580-8495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

3642 S 35TH St
Milwaukee, WI 53221-1004

Mailing address

3642 S 35TH St
Milwaukee, WI 53221-1004
Phone (414) 939-5690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250512000497 WI Part B Supplier - Clinic/Group Practice 9537686712 Receives reassigned benefits from 1 practitioner
Practice locations: Milwaukee, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1245081728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3642 S 35TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532211004",
            "telephone_number": "414-939-5690",
            "fax_number": "262-293-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3642 S 35TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532211004",
            "telephone_number": "414-939-5690",
            "fax_number": "262-293-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE MENTAL HEALTH AND CONSULTING , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "RAQUEL",
        "authorized_official_title_or_position": "OWNER, COUNSELOR",
        "authorized_official_telephone_number": "757-580-8495",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.