Elisha A Barren Sr., SAC-IT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

16713-130 Issued in WI

Practice address

2555 N MLK Dr
Milwaukee, WI 53212-2709

Phone

(414) 372-8080

Fax

(414) 267-8570

NPI assigned

Aug 29, 2016

Last updated

Dec 19, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Multicultural Trauma and Addiction Treatment Center of Wisconsin

  • Professional Counselor
  • Wauwatosa, WI
  • NPI 1376013516
  NPD (past)

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1366998403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 W HIGHLAND BLVD",
            "address_2": "APT 212",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532084331",
            "telephone_number": "414-839-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 N MLK DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122709",
            "telephone_number": "414-372-8080",
            "fax_number": "414-267-8570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2725 W Highland Blvd Apt 212",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532083275",
            "country_code": "US",
            "telephone_number": "414-839-0088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2814 S 108th St",
            "address_purpose": "LOCATION",
            "city": "West Allis",
            "state": "WI",
            "postal_code": "532273224",
            "country_code": "US",
            "telephone_number": "414-839-0088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 N Mayfair Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "532262262",
            "country_code": "US",
            "telephone_number": "414-939-9390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8200 W Silver Spring Dr",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532182552",
            "country_code": "US",
            "telephone_number": "414-760-3900",
            "fax_number": "414-464-6472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARREN",
        "first_name": "ELISHA",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "SAC-IT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-29",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16713-130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366998403",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Mickey Barnstable
• Joseph Jay Verroya Baron Jr., PA-C
• Jordan Christina Barone, MD
• Baroque, Inc
• Robert Barr, DPT
• Scott Barrera, PHD
• Andrea Barrett-Hollander, CNM
• Jeremiah L Barrett, PA-C
• Sarah Barrett
• Sarah K Barrett

• Addiction (Substance Use Disorder) Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.