John Nicholas Wirkus

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1006 Issued in WI

Practice address

16535 W Bluemound Rd
Brookfield, WI 53005-5936

Phone

(262) 542-3255

Fax

(262) 821-6180

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• John Wirkus Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285641647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WEST ST",
            "city": "JOHNSON CREEK",
            "state": "WI",
            "postal_code": "530389503",
            "telephone_number": "920-699-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16535 W BLUEMOUND RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055936",
            "telephone_number": "262-542-3255",
            "fax_number": "262-821-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRKUS",
        "first_name": "JOHN",
        "middle_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "1006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "WIRKUS",
            "credential": "CADC3",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristi N Windsperger, LPC, CSAC
• Ashley Wing, MSN, APNP, CPNP-AC
• Carol Marie Wingenter, OTR/L
• Amanda Winter, PA-C
• Maria Derosa Winter, RN
• Cory Alan Wirth, DDS
• Molly Wirth
• Wisconsin Behavioral Health
• Wisconsin CVS Pharmacy LLC
• Wisconsin CVS Pharmacy, L.L.C.

• Addiction (Substance Use Disorder) Counselor in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.