Organization Active NPI

Culturally Diverse Counseling Center LLC

  • Mental Health Counselor
  • West Allis, WI
National Provider Identifier
1649989930
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CULTURALLY DIVERSE COUNSELING CENTER LLC
Practice address
2323 S 109TH St Ste 120
West Allis, WI 53227-1909
Phone
(414) 510-5700
NPI assigned
Nov 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Danielle Armstead, LPCNPI 1952924342
Title
Owner
Phone
(414) 510-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2323 S 109TH St Ste 120
West Allis, WI 53227-1909

Mailing address

2323 S 109TH St Ste 120
West Allis, WI 53227-1909
Phone (414) 510-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240212002153 WI Part B Supplier - Clinic/Group Practice 4284077728 Receives reassigned benefits from 2 practitioners
Practice locations: West Allis, WI

National Provider Directory

National Provider Directory

Locations

2323 S 109th St
Ste 120
West Allis, WI 53227
Phone (414) 510-5700

2323 S 109th St
Ste 120A
West Allis, WI 53227
Phone (414) 510-5700

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1649989930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 S 109TH ST STE 120",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271909",
            "telephone_number": "414-510-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 S 109TH ST STE 120",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271909",
            "telephone_number": "414-510-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTURALLY DIVERSE COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "ARMSTEAD",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-510-5700",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.