Cedar Creek Family Counseling, Inc

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

CEDAR CREEK FAMILY COUNSELING, INC

Practice address

9910 W. Layton Ave
Suite 2
Greenfield, WI 53228

Phone

(414) 427-4884

Fax

(414) 427-4889

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Buckley F Meade, CADC III

Title

Owner Program Director

Phone

(414) 427-4884

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Jessica Mater, SAC-IT

  • Addiction (Substance Use Disorder) Counselor
  • Greenfield, WI
  • NPI 1528467495
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1609814367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 W. LAYTON AVE.",
            "address_2": "SUITE 2",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "53228",
            "telephone_number": "414-427-4884",
            "fax_number": "414-427-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9910 W. LAYTON AVE",
            "address_2": "SUITE 2",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "53228",
            "telephone_number": "414-427-4884",
            "fax_number": "414-427-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CREEK FAMILY COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "MEADE",
        "authorized_official_first_name": "BUCKLEY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "414-427-4884",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CADC III"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42188500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Castle Home Care, Inc
• Ann Cates, P.T.
• Gregory M Cavanaugh, PA-C
• Krista Cearfoss, PTA
• Cedar Creek Family Counseling Inc
• Gina Centeno, MS, PA-C
• Lynnette J Chars, M.S.CCC-SLP
• Shahzad Chaudhry, MD
• Garima Chawla, D.O.
• Michael H Chen, D.C..

• Addiction (Substance Use Disorder) Counselor in Greenfield, WI
• Providers in Greenfield, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.