Active NPI
Charlie Schrauth, CADCIII
- Addiction (Substance Use Disorder) Counselor
- Hales Corners, WI
National Provider Identifier
1568406486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1531
- Practice address
- 9415 W Forest Home Ave
Suite #108
Hales Corners, WI 53130-1680 - Phone
- (414) 427-4884
- Fax
- (414) 427-4889
- NPI assigned
- Jun 15, 2006
- Last updated
- Mar 27, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1531 | WI | Primary |
Addresses
Primary practice location
9415 W Forest Home Ave
Suite #108
Hales Corners, WI 53130-1680
Mailing address
4555 West Schroeder Drive
Suite 170
Milwaukee, WI 53223
Phone (414) 365-3210
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 |
|---|---|---|---|
| 1531 | WI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1568406486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4555 WEST SCHROEDER DRIVE",
"address_2": "SUITE 170",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53223",
"telephone_number": "414-365-3210",
"fax_number": "414-365-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9415 W FOREST HOME AVE",
"address_2": "SUITE #108",
"city": "HALES CORNERS",
"state": "WI",
"postal_code": "531301680",
"telephone_number": "414-427-4884",
"fax_number": "414-427-4889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRAUTH",
"first_name": "CHARLIE",
"credential": "CADCIII",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "1531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hales Corners, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.