Organization Active NPI

Joy of Life Center LTD

  • Mental Health Counselor
  • Milwaukee, WI
National Provider Identifier
1346323532
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
420-123 Issued in WI
Legal business name
JOY OF LIFE CENTER LTD
Practice address
721 S 2ND St
Milwaukee, WI 53204-1804
Phone
(414) 382-9668
Fax
(414) 382-9667
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alex Walkowiak, LCSW
Title
Director
Phone
(414) 382-9668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 420-123 WI Primary

Addresses

Primary practice location

721 S 2ND St
Milwaukee, WI 53204-1804

Mailing address

721 S 2ND St
Milwaukee, WI 53204-1804
Phone (414) 382-9668

Other identifiers 1

IdentifierTypeStateIssuer
42111400MedicaidWI

National Provider Directory

National Provider Directory

Locations

5225 N Ironwood Rd
Ste 118
Glendale, WI 53217
Phone (414) 253-7732

721 S 2nd St
Milwaukee, WI 53204
Phone (414) 382-9668

Practitioners & affiliated clinicians

Practitioners 1

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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346323532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 S 2ND ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532041804",
            "telephone_number": "414-382-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S 2ND ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532041804",
            "telephone_number": "414-382-9668",
            "fax_number": "414-382-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOY OF LIFE CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKOWIAK",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-382-9668",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "420-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42111400",
            "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 Aug 22, 2020; 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.