NPIMap

Organization Active NPI

Faith Factory LLC

  • Professional Counselor
  • Milwaukee, WI
National Provider Identifier
1265151906
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
FAITH FACTORY LLC
Practice address
790 N Milwaukee St Ste 312
Milwaukee, WI 53202-3724
Phone
(262) 706-5868
NPI assigned
Aug 25, 2022
Last updated
Aug 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Lisa Roth, LPCNPI 1447681168
Title
Owner
Phone
(262) 706-5868

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
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

790 N Milwaukee St Ste 312
Milwaukee, WI 53202-3724

Mailing address

790 N Milwaukee St Ste 312
Milwaukee, WI 53202-3724
Phone (262) 706-5868

National Provider Directory

National Provider Directory

Locations

790 N Milwaukee St
Ste 312
Milwaukee, WI 53202
Phone (262) 706-5868

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1265151906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 N MILWAUKEE ST STE 312",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023724",
            "telephone_number": "262-706-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 N MILWAUKEE ST STE 312",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023724",
            "telephone_number": "262-706-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH FACTORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-706-5868",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "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 Aug 25, 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.

Verify at the official NPI Registry.