Active NPI
Darlene Beckley Wareham, LMFT
- Marriage & Family Therapist
- Germantown, WI
National Provider Identifier
1497872568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 575-124
- Practice address
- W177N9856 Rivercrest Dr
Suite 251
Germantown, WI 53022-4612 - Phone
- (414) 745-5353
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 575-124 | WI | Primary |
Addresses
Primary practice location
W177N9856 Rivercrest Dr
Suite 251
Germantown, WI 53022-4612
Mailing address
2323 N 72ND St
Wauwatosa, WI 53213-1201
Phone (414) 745-5353
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 575-124 | WI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298937600000",
"number": "1497872568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 N 72ND ST",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532131201",
"telephone_number": "414-745-5353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W177N9856 RIVERCREST DR",
"address_2": "SUITE 251",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530224612",
"telephone_number": "414-745-5353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAREHAM",
"first_name": "DARLENE",
"middle_name": "BECKLEY",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2011-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "575-124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.