Active NPI
Cornerstone Counseling Services
- Addiction (Substance Use Disorder) Counselor
- Greenfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 684
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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.III
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39356400 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Addiction (Substance Use Disorder) Counselor
- Greenfield, WI
- NPI 1194801415
-
- Clinical Social Worker
- Brookfield, WI
- NPI 1477513588
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.