Patrick Schultz LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5299-125 Issued in WI

Legal business name

PATRICK SCHULTZ LLC

Practice address

11345 N Port Washington Rd Ste 204
Mequon, WI 53092-3411

Phone

(262) 236-5135

NPI assigned

Mar 1, 2018

Organization subpart

No

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

Authorized official

Name

Patrick Schultz, MA LPC NCCNPI 1891197703

Title

Psychotherapist/Owner

Phone

(262) 236-5135

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Milwaukee Counselor Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Schultz, MA LPC NCC

  • Professional Counselor
  • Mequon, WI
  • NPI 1891197703
  NPD Authorized official
• Misty Crass, MSW, APSW

  • Social Worker
  • Mequon, WI
  • NPI 1215409560
  NPD (past)

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1609378058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11345 N PORT WASHINGTON RD STE 204",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923411",
            "telephone_number": "262-236-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11345 N PORT WASHINGTON RD STE 204",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923411",
            "telephone_number": "262-236-5135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9653 N Granville Rd",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530973513",
            "country_code": "US",
            "telephone_number": "262-236-5135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATRICK SCHULTZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "262-236-5135",
        "authorized_official_credential": "MA LPC NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "5299-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50241041",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milwaukee Counselor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Garrett Alexander Panno, D.C.
• Lisa Ann Parker, APNP
• Laurie Berg Pasch, MSSW LCSW LMFT
• Shawn Patel, DO
• Shirish P Patel, MD
• Alyssa Patton
• Paula Jones, MD, SC
• Pavicich Counseling, LLC
• Tricia J Pavlons, MS, LPC
• Susan Pawlowski

• Mental Health Counselor in Mequon, WI
• Providers in Mequon, 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 Sep 11, 2018; 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.