Many Roads Clinic

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4100-125 Issued in WI

Legal business name

MANY ROADS CLINIC

Practice address

2510 E Capitol Dr
Shorewood, WI 53211-2136

Phone

(414) 975-8106

NPI assigned

Oct 11, 2016

Last updated

Dec 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Greco Jr., MA, LPC, CSAC

Title

Psychotherapist/Owner

Phone

(414) 975-8106

Specialties & licenses 2

Addresses

Tax ID family

Many Roads Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Many Roads Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Franklin, WI
  • NPI 1093609919
  NPD tax ID
• Many Roads Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Delafield, WI
  • NPI 1407565674
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1366992695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 S HEARTHSIDE DR",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531516578",
            "telephone_number": "414-975-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 E CAPITOL DR",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112136",
            "telephone_number": "414-975-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANY ROADS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "GRECO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "414-975-8106",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MA, LPC, CSAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15410-132",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4100-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Joseph Lueger, PH.D.
• Aidanne Leigh Macdonald-Milewski, ND
• Richard Charles Maedke, D.C.
• Nicole Magner, MSW, LCSW
• Brianna Marie Malueg, LMT
• Morgan Markus, DNP, FNP
• Monica E. Maroney, D.C., D.I.C.C.P.
• Scott M Martin, MSOM
• May One LLC
• Mazoran LLC (Uptown Pharmacy & Wellness)

• Professional Counselor in Shorewood, WI
• Providers in Shorewood, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.