Organization Active NPI

Life Focus Counseling SC

  • Clinical Social Worker
  • Racine, WI
National Provider Identifier
1538495775
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6718-123 Issued in WI
Legal business name
LIFE FOCUS COUNSELING SC
Practice address
6214 Washington Ave
Suite C-10
Racine, WI 53406-3986
Phone
(262) 989-6212
Fax
(262) 884-4405
NPI assigned
Oct 22, 2009
Last updated
Oct 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Authorized official

Name
Mrs. Barbara Mizer, LCSW ACSW CSACNPI 1467588590
Title
Owner
Phone
(262) 989-6212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6718-123 WI Primary

Addresses

Primary practice location

6214 Washington Ave
Suite C-10
Racine, WI 53406-3986

Mailing address

6214 Washington Ave
Suite C-10
Racine, WI 53406-3986
Phone (262) 989-6212

National Provider Directory

National Provider Directory

Locations

3917 47th Ave
Ste 210
Kenosha, WI 53144
Phone (262) 989-6212

6214 Washington Ave
Ste 1C
Mount Pleasant, WI 53406
Phone (262) 989-6212

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1538495775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6214 WASHINGTON AVE",
            "address_2": "SUITE C-10",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534063986",
            "telephone_number": "262-989-6212",
            "fax_number": "262-884-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6214 WASHINGTON AVE",
            "address_2": "SUITE C-10",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534063986",
            "telephone_number": "262-989-6212",
            "fax_number": "262-884-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE FOCUS COUNSELING SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "MIZER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-989-6212",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW ACSW CSAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6718-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.