Emma Garvens, SAC-IT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

19117-130 Issued in WI

Practice address

2814 S 108TH St
West Allis, WI 53227-3224

Phone

(414) 885-3525

NPI assigned

May 8, 2023

Last updated

May 8, 2023By the provider in NPPES

Sex

Female

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

• Emma Dolan Former 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": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1306535026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 MOUNT PLEASANT ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534042237",
            "telephone_number": "262-752-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 S 108TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532273224",
            "telephone_number": "414-885-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVENS",
        "first_name": "EMMA",
        "credential": "SAC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "19117-130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "DOLAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maryam Gardezi, M.D.
• Terri June Gardipee, REGISTERED NURSE
• Meshawn M Gardner, RN
• William R Garrett, CSAC
• Samuel Garrity
• Cheryl Gates, APNP
• Gatis Makstenieks MD SC
• Melissa A Gebauer, RN
• Esayas T Gebreyesus, MD
• Mamatha Geddam, MD

• Addiction (Substance Use Disorder) Counselor in West Allis, WI
• Providers in West Allis, 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 May 8, 2023; 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.