NPIMap

Organization Active NPI

Family Healing and Wellness Center LLC

  • Professional Counselor
  • Milwaukee, WI
National Provider Identifier
1306381900
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4999-125 Issued in WI
Legal business name
FAMILY HEALING AND WELLNESS CENTER LLC
Practice address
8081 W. Capitol Dr.
Suite 6
Milwaukee, WI 53222-1706
Phone
(414) 367-8793
NPI assigned
Jan 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Jerolynn Bell-Scaggs
Title
Founder and Owner
Phone
(414) 502-9294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 4999-125 WI Primary

Addresses

Primary practice location

8081 W. Capitol Dr.
Suite 6
Milwaukee, WI 53222-1706

Mailing address

8081 W. Capitol Dr.
Suite 6
Milwaukee, WI 53222-1706

Other identifiers 1

IdentifierTypeStateIssuer
1003256132MedicaidWI

National Provider Directory

National Provider Directory

Locations

8081 W Capitol Dr
Ste 6
Milwaukee, WI 53222
Phone (414) 367-8793

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1306381900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 W. CAPITOL DR.",
            "address_2": "SUITE 6",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 W. CAPITOL DR.",
            "address_2": "SUITE 6",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221706",
            "telephone_number": "414-367-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALING AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "BELL-SCAGGS",
        "authorized_official_first_name": "JEROLYNN",
        "authorized_official_title_or_position": "FOUNDER AND OWNER",
        "authorized_official_telephone_number": "414-502-9294"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4999-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003256132",
            "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 Jan 5, 2017; 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.