Active NPI
Joseph Contezac
- Mental Health Counselor
- West Allis, WI
National Provider Identifier
1619751005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7562-226
- Practice address
- 10150 W National Ave Ste 390
West Allis, WI 53227-2145 - Phone
- (414) 545-4430
- NPI assigned
- Aug 24, 2023
- Last updated
- Aug 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7562-226 | WI | Primary |
Addresses
Primary practice location
10150 W National Ave Ste 390
West Allis, WI 53227-2145
Mailing address
4175 N Oakland Ave Unit 316
Shorewood, WI 53211-2075
Phone (608) 556-2795
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 |
|---|---|---|---|
| 7562-226 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Psyche, LLC | Current | Accepting new patients |
Locations
10150 W National Ave
Ste 390
West Allis, WI 53227
Phone (414) 454-4430
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Milwaukee, WI
- NPI 1255704565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1619751005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4175 N OAKLAND AVE UNIT 316",
"city": "SHOREWOOD",
"state": "WI",
"postal_code": "532112075",
"telephone_number": "608-556-2795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10150 W NATIONAL AVE STE 390",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532272145",
"telephone_number": "414-545-4430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTEZAC",
"first_name": "JOSEPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-24",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "7562-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.