Organization Active NPI

Brewer Counseling and Wellness

  • Psychologist
  • Mequon, WI
National Provider Identifier
1649784638
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2646 Issued in WI
Legal business name
BREWER COUNSELING AND WELLNESS
Practice address
14135 N Cedarburg Rd
Mequon, WI 53097-1416
Phone
(262) 377-2006
NPI assigned
Nov 29, 2017
Last updated
Feb 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2018

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

Authorized official

Name
Dr. Laura Graf Brewer, PSYD
Title
Psychologist
Phone
(414) 322-9555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2646 WI Primary

Addresses

Primary practice location

14135 N Cedarburg Rd
Mequon, WI 53097-1416

Mailing address

W49N669 Cedar Reserve Cir
Cedarburg, WI 53012-3501
Phone (414) 322-9555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518998400000",
    "number": "1649784638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W49N669 CEDAR RESERVE CIR",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530123501",
            "telephone_number": "414-322-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14135 N CEDARBURG RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530971416",
            "telephone_number": "262-377-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREWER COUNSELING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2018-02-19",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "GRAF",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "414-322-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.