Robin Palzewicz, LPC IT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2798266 Issued in WI

Practice address

12630 W North Ave
Building E
Brookfield, WI 53005-4626

Phone

(262) 785-1008

Fax

(262) 432-9059

NPI assigned

Oct 5, 2016

Last updated

Oct 6, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Robin Gay Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christian Life Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brookfield, WI
  • NPI 1023056009
  NPD (past)
• Christian Life Counseling LLC

  dba Christian Life Counseling

  • Clinical Psychologist
  • Brookfield, WI
  • NPI 1659466860
  NPD (past)

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1548710338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12630 W NORTH AVE",
            "address_2": "BUILDING E",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054626",
            "telephone_number": "262-785-1008",
            "fax_number": "262-432-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12630 W NORTH AVE",
            "address_2": "BUILDING E",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054626",
            "telephone_number": "262-785-1008",
            "fax_number": "262-432-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALZEWICZ",
        "first_name": "ROBIN",
        "name_prefix": "Mrs.",
        "credential": "LPC IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "2798266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "GAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Miranda Marie Paltzer
• Ralph A. Pamenter, DDS
• Li Pan, LPN
• Jordan Rae Paniagua, LPC
• Donna Lavae Pankratz
• Franchesca Panozzo

• Mental Health Counselor in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.