Jeffrey Alphonse Schroeder, CSAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

385-132 Issued in WI

Practice address

210 Milwaukee Ave W
Fort Atkinson, WI 53538-2022

Phone

(920) 568-5046

Fax

(920) 568-4004

NPI assigned

Feb 27, 2013

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

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1386984433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MILWAUKEE AVE W",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "53538",
            "telephone_number": "920-568-5046",
            "fax_number": "920-568-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MILWAUKEE AVE W",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535382022",
            "telephone_number": "920-568-5046",
            "fax_number": "920-568-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "JEFFREY",
        "middle_name": "ALPHONSE",
        "name_prefix": "Mr.",
        "credential": "CSAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "385-132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI STATE LICENSE NUMBER",
            "identifier": "385-132",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgia Schiller, MD
• Scott Schlais, M.D.
• Amanda Lee Schmidt, BSN, APNP, PMHNP-BC
• School District of Fort Atkinson
• Elizabeth Ruth Schoos, ATC, LAT
• Margaret M Schroeder, LCSW
• Nicholas Schroeder
• Marcia Schueller
• Angela Schuldies, PMHNP, APRN
• Dane Schultz

• Addiction (Substance Use Disorder) Counselor in Fort Atkinson, WI
• Providers in Fort Atkinson, 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 Feb 28, 2013; 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.