Individual provider Active NPI

Geraldine Rebecca Pikalek, M.S., LPC

  • Professional Counselor
  • Milwaukee, WI
National Provider Identifier
1457597932
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4501-125 Issued in WI
Practice address
1040 S 70TH St
Milwaukee, WI 53214-3174
Phone
(414) 476-9675
Fax
(414) 615-0627
NPI assigned
Jan 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X 4501-125 WI Primary

Addresses

Primary practice location

1040 S 70TH St
Milwaukee, WI 53214-3174

Mailing address

1040 S 70TH St
Milwaukee, WI 53214-3174
Phone (414) 476-9675

Other identifiers 1

IdentifierTypeStateIssuer
104100000XMedicaidWI

Other names 1

  • Miss Jeri Rebecca Swiontek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4501-125WIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1457597932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 S 70TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532143174",
            "telephone_number": "414-476-9675",
            "fax_number": "414-615-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 S 70TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532143174",
            "telephone_number": "414-476-9675",
            "fax_number": "414-615-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKALEK",
        "first_name": "GERALDINE",
        "middle_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "M.S., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4501-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104100000X",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERI",
            "last_name": "SWIONTEK",
            "middle_name": "REBECCA",
            "prefix": "MISS",
            "credential": "M.S., LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 19, 2011; 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.