Marquette University

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MARQUETTE UNIVERSITY

Doing business as

Marquette 7Cs Community Counseling Clinic

Practice address

561 N 15TH St
Room 171a
Milwaukee, WI 53233-2237

Phone

(414) 288-4556

Fax

(414) 288-6100

NPI assigned

Feb 23, 2009

Last updated

Feb 23, 2009By 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. Brian Shoup

Title

Chief of Operations

Phone

(414) 288-7378

Specialties & licenses 1

Addresses

Other names 1

• Marquette 7Cs Community Counseling Clinic Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Maddocks, LPC

  • Professional Counselor
  • Milwaukee, WI
  • NPI 1285962118
  NPD (past)
• Jacinta Evelyn Taylor, B.A

  • Addiction (Substance Use Disorder) Counselor
  • Milwaukee, WI
  • NPI 1740420900
  NPD (past)

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1528208170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 N. 15 STREET",
            "address_2": "ROOM 171A",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53233",
            "telephone_number": "414-288-4556",
            "fax_number": "414-288-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 N 15TH ST",
            "address_2": "ROOM 171A",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532332237",
            "telephone_number": "414-288-4556",
            "fax_number": "414-288-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUETTE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "SHOUP",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CHIEF OF OPERATIONS",
        "authorized_official_telephone_number": "414-288-7378",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marquette 7Cs Community Counseling Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pollyana Marques de Moura
• Marquette University
• Marquette University (Center for Psychological Services)
• Marquette University
• Marquette University
• Marquette University
• Marquette University (Marquette Neighborhood Health Center)
• Gilberto Marquez Jr., M.D.
• Jonathan P Marquez
• Thomas R Marra, MD

• Community/Behavioral Health Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.