Fresh Start Counseling Center

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FRESH START COUNSELING CENTER

Doing business as

Sacred Gardens

Practice address

1720 W Florist Ave
Suite 200
Glendale, WI 53209-3800

Phone

(414) 351-1100

Fax

(414) 351-0436

NPI assigned

Jun 8, 2012

Last updated

Jun 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jermaine Reed

Title

Owner

Phone

(414) 351-1100

Specialties & licenses 1

Addresses

Other names 1

• Sacred Gardens Doing business as

Tax ID family

Fresh Start Counseling Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fresh Start Counseling Center, Inc

  • Community/Behavioral Health Agency
  • Milwaukee, WI
  • NPI 1851537054
  NPD tax ID

Locations

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1518229285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 W FLORIST AVE",
            "address_2": "SUITE 200",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532093800",
            "telephone_number": "414-351-1100",
            "fax_number": "414-351-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W FLORIST AVE",
            "address_2": "SUITE 200",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532093800",
            "telephone_number": "414-351-1100",
            "fax_number": "414-351-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "JERMAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-351-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacred Gardens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catrina Marie Francis, CAP, RMT, SFC, IHP1
• Mary S. Frank, NP
• Devin Matthew Franklin, PC
• Philip Freeman, LAC
• Fresenius Medical Care Midwest Dialysis, LLC (Fresenius Medical Care Midwest Glendale)
• Functional Therapeutics Inc Dba Brightstar Healthcare (BrightStar Healthcare)
• Glenda Gaddi-Geli, RN
• Joseph L Gaffney, D.D.S
• Marion R Gailey, PAC
• Olalekan Lukman Ganiyu, PT, MHSC, MTC

• In Home Supportive Care Agency in Glendale, WI
• Providers in Glendale, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.