Active NPI
Janai Aleice Farr, LPC-IT
- Counselor
- West Allis, WI
National Provider Identifier
1548080013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 8176-226
- Practice address
- 1205 S 70TH St, Ste 301
West Allis, WI 53214 - Phone
- (414) 475-2788
- NPI assigned
- Oct 10, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 8176-226 | WI | Primary |
Addresses
Primary practice location
1205 S 70TH St, Ste 301
West Allis, WI 53214
Mailing address
6233 39TH Ave
Kenosha, WI 53142-7015
Phone (262) 652-1004
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 |
|---|---|---|---|
| 8176-226 | WI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Services Group, Inc. | Current | Accepting new patients |
Locations
6233 39th Ave
Kenosha, WI 53142
Phone (262) 654-1004
1205 S 70th St
Ste 301
West Allis, WI 53214
Phone (414) 475-2788
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kenosha, WI
- NPI 1619024262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1548080013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6233 39TH AVE",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531427015",
"telephone_number": "262-652-1004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 S 70TH ST, STE 301",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "53214",
"telephone_number": "414-475-2788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARR",
"first_name": "JANAI",
"middle_name": "ALEICE",
"credential": "LPC-IT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-10",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WI",
"license": "8176-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.