Organization Active NPI

Professional Readjustment Outreach Consultant Group

  • Mental Health Counselor
  • Milwaukee, WI
National Provider Identifier
1346593928
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PROFESSIONAL READJUSTMENT OUTREACH CONSULTANT GROUP
Practice address
4222 W Capitol Dr
Lower Suite
Milwaukee, WI 53216-2500
Phone
(414) 810-4431
NPI assigned
Oct 19, 2012
Last updated
Oct 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Carla June Williams, MSED, CSACNPI 1700081262
Title
Executive Director
Phone
(414) 810-4431

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
Mental Health Counselor 101YM0800X WI Primary

Addresses

Primary practice location

4222 W Capitol Dr
Lower Suite
Milwaukee, WI 53216-2500

Mailing address

4222 W Capitol Dr
Lower Suite
Milwaukee, WI 53216-2500

Other names 1

  • PRO Consultant Group Other name

National Provider Directory

National Provider Directory

Locations

4222 W Capitol Dr
Lowr
Milwaukee, WI 53216
Phone (414) 449-9908

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": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1346593928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 W CAPITOL DR",
            "address_2": "LOWER SUITE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 W CAPITOL DR",
            "address_2": "LOWER SUITE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162500",
            "telephone_number": "414-810-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL READJUSTMENT OUTREACH CONSULTANT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-810-4431",
        "authorized_official_credential": "MSED, CSAC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRO Consultant Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 19, 2012; 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.