NPIMap

Organization Active NPI

Family Counseling Center, LLC

  • Community/Behavioral Health Agency
  • Wauwatosa, WI
National Provider Identifier
1306095823
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
475-123 Issued in WI
Legal business name
FAMILY COUNSELING CENTER, LLC
Practice address
8112 W Bluemound Rd
Suite 106
Wauwatosa, WI 53213-3356
Phone
(414) 258-5523
Fax
(414) 431-1071
NPI assigned
Sep 9, 2008
Last updated
Sep 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Mary Ziemer Nervig, LCSWNPI 1720148471
Title
Owner
Phone
(414) 258-5523

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 475-123 WI Primary

Addresses

Primary practice location

8112 W Bluemound Rd
Suite 106
Wauwatosa, WI 53213-3356

Mailing address

8112 W Bluemound Rd
Suite 106
Wauwatosa, WI 53213-3356
Phone (414) 258-5523

Other identifiers 1

IdentifierTypeStateIssuer
42193700MedicaidWI

National Provider Directory

National Provider Directory

Locations

8112 W Bluemound Rd
Wauwatosa, WI 53213
Phone (414) 258-5523

Practitioners & affiliated clinicians

Practitioners 3

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": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1306095823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8112 W BLUEMOUND RD",
            "address_2": "SUITE 106",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532133356",
            "telephone_number": "414-258-5523",
            "fax_number": "414-431-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8112 W BLUEMOUND RD",
            "address_2": "SUITE 106",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532133356",
            "telephone_number": "414-258-5523",
            "fax_number": "414-431-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "NERVIG",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ZIEMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-258-5523",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "475-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42193700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.