Individual provider Active NPI

Bernadette Ann Erickson, LPC

  • Professional Counselor
  • Milwaukee, WI
National Provider Identifier
1679629836
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3210-125 Issued in WI
Practice address
2825 N Mayfair Rd
101
Milwaukee, WI 53222-4406
Phone
(414) 453-6960
Fax
(414) 453-7080
NPI assigned
Jan 28, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3210-125 WI Primary

Addresses

Primary practice location

2825 N Mayfair Rd
101
Milwaukee, WI 53222-4406

Mailing address

362 Kristin CT E
Brookfield, WI 53045-3584
Phone (262) 717-9008

Other names 1

  • Betsy Erickson Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240319003179 WI Practitioner - Mental Health Counselor 9032556600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encompass-Effective Mental Health Services IncGroup PAC ID 0042115016, 8 clinicians

Practice addresses (Care Compare)

12970 W Bluemound Rd
Suite 301
Elm Grove, WI 53122-2607
Phone (414) 453-8380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pastoral Counseling Service Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679629836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 KRISTIN CT E",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530453584",
            "telephone_number": "262-717-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 N MAYFAIR RD",
            "address_2": "101",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532224406",
            "telephone_number": "414-453-6960",
            "fax_number": "414-453-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "BERNADETTE",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3210-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETSY",
            "last_name": "ERICKSON",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.