Organization Active NPI

Cornerstone Counseling Services

  • Addiction (Substance Use Disorder) Counselor
  • Greenfield, WI
National Provider Identifier
1326154378
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
684 Issued in WI
Legal business name
CORNERSTONE COUNSELING SERVICES
Practice address
4811 S 76TH St
Greenfield, WI 53220-4364
Phone
(414) 817-0442
Fax
(414) 817-0442
NPI assigned
Aug 22, 2006
Last updated
Aug 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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

Authorized official

Name
Mrs. Pamela Jean Jenks, C.A.D.C.IIINPI 1194801415
Title
A.O.D.a. Counsler
Phone
(262) 542-3255

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
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 684 WI Primary

Addresses

Primary practice location

4811 S 76TH St
Greenfield, WI 53220-4364

Mailing address

4811 S 76TH St
Greenfield, WI 53220-4364
Phone (414) 817-0442

Other identifiers 1

IdentifierTypeStateIssuer
39356400MedicaidWI

National Provider Directory

National Provider Directory

Locations

4811 S 76th St
Milwaukee, WI 53220
Phone (262) 330-0022

Practitioners & affiliated clinicians

Practitioners 2

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": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1326154378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 S 76TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204364",
            "telephone_number": "414-817-0442",
            "fax_number": "414-817-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 S 76TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204364",
            "telephone_number": "414-817-0442",
            "fax_number": "414-817-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "JENKS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "A.O.D.A. COUNSLER",
        "authorized_official_telephone_number": "262-542-3255",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.A.D.C.III"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39356400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

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