Mi Familia Counseling Center Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

2444 Issued in WI

Legal business name

MI FAMILIA COUNSELING CENTER INC

Practice address

2960 S 13TH St
Milwaukee, WI 53215-3824

Phone

(414) 383-0755

Fax

(414) 383-0757

NPI assigned

May 5, 2008

Organization subpart

No

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

Authorized official

Name

Nicolan M. Reyes

Title

President / Director

Phone

(414) 383-0755

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mi Familia Other name

Locations

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1457527954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 S 13TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153824",
            "telephone_number": "414-383-0755",
            "fax_number": "414-383-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 S 13TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153824",
            "telephone_number": "414-383-0755",
            "fax_number": "414-383-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI FAMILIA COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "NICOLAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT / DIRECTOR",
        "authorized_official_telephone_number": "414-383-0755"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WI",
            "license": "2444",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WI",
            "license": "41479300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42231600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mi Familia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.