Organization Active NPI

Comprehensive Support Services LLC

  • Professional Counselor
  • Milwaukee, WI
National Provider Identifier
1417312869
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4565-125 Issued in WI
Legal business name
COMPREHENSIVE SUPPORT SERVICES LLC
Practice address
1228 N Astor St
Milwaukee, WI 53202-2820
Phone
(262) 701-7197
NPI assigned
Dec 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Authorized official

Name
Stephanie J Erbes, MA, LPC, NCCNPI 1457583957
Title
Professional Counselor
Phone
(262) 701-7197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 4565-125 WI Primary

Addresses

Primary practice location

1228 N Astor St
Milwaukee, WI 53202-2820

Mailing address

2181 N 61St St
Wauwatosa, WI 53213-2009
Phone (414) 628-3878

Other identifiers 1

IdentifierTypeStateIssuer
100050372MedicaidWI

National Provider Directory

National Provider Directory

Locations

1228 N Astor St
Milwaukee, WI 53202
Phone (262) 701-7197

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1417312869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2181 N 61ST ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132009",
            "telephone_number": "414-628-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 N ASTOR ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022820",
            "telephone_number": "262-701-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "ERBES",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "262-701-7197",
        "authorized_official_credential": "MA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4565-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100050372",
            "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 Dec 29, 2015; 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.