NPIMap

Carmelita Aufdemberge

Individual provider Active NPI Professional Counselor · Brown Deer, WI

NPI 1548870595 · NPPES record last updated May 20, 2021

Key facts

NPI
1548870595
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
3900 W Brown Deer Rd Ste 200
Brown Deer, WI 53209-1220
Phone
(414) 540-2170
Fax
(414) 540-2171
NPI assigned
Aug 5, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Lutheran Child & Family Service Past
since Aug 1, 2020		 Accepting new patients
Wisconsin Lutheran Child and Family Service Inc Professional Past
since Aug 1, 2020		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X WI Yes

Addresses

Primary practice location

3900 W Brown Deer Rd Ste 200
Brown Deer, WI 53209-1220

Mailing address

3900 W Brown Deer Rd Ste 200
Brown Deer, WI 53209-1220
Phone (414) 540-2170

Other names

  • Carmelita D Booker Former name

Other providers in Brown Deer, WI

All providers in Brown Deer, WI · Professional Counselor in Wisconsin

Sources for this page

Verify at the official NPI Registry.