Luke Debauche

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

820 N Plankinton Ave
Milwaukee, WI 53203-1802

Phone

(414) 223-6800

Fax

(414) 273-2357

NPI assigned

Aug 1, 2008

Last updated

Jan 5, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vivent Health IncGroup PAC ID 1052308376, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Vivent Health Inc

  • Clinic/Center
  • Milwaukee, WI
  • NPI 1982654091
  Medicare reassignment Care Compare group NPD
• Vivent Health Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukee, WI
  • NPI 1770721607
  NPD
• Vivent Health Inc

  • Case Management Agency
  • Milwaukee, WI
  • NPI 1134367063
  NPD (past)

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1619133352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510498",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532030092",
            "telephone_number": "866-525-5484",
            "fax_number": "414-225-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N PLANKINTON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532031802",
            "telephone_number": "414-223-6800",
            "fax_number": "414-273-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBAUCHE",
        "first_name": "LUKE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-01",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Dean, PA, AT
• Sarah Lyn Deaner, LPC
• Mitzi J Dearborn, PHD
• Meaghann E Deasy, FNP-C
• Laurie B Debarge
• Nancy L. Debbink, M.D.
• Deberry Consultant Services and Behavioral Health
• Barbara Lee Deberry, LCSW
• Michael Debisschop, PHARMD
• Frederick M Deboe Jr, MD

• Clinical Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.