Individual provider Active NPI

Eve Lipchik, MSW

  • Mental Health Counselor
  • Milwaukee, WI
National Provider Identifier
1679638605
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
38-123 AND 119-124 Issued in WI
Practice address
1524 N Farwell Ave
Milwaukee, WI 53202-2329
Phone
(414) 273-2220
Fax
(414) 273-2223
NPI assigned
Dec 27, 2006
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
Mental Health Counselor 101YM0800X 38-123 AND 119-124 WI Primary

Addresses

Primary practice location

1524 N Farwell Ave
Milwaukee, WI 53202-2329

Mailing address

2641 N Lake Dr
Milwaukee, WI 53211-3838
Phone (414) 963-9857

Other identifiers 1

IdentifierTypeStateIssuer
39525900MedicaidWI

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
38-123 AND 119-124WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Icf Consultants, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679638605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 N LAKE DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532113838",
            "telephone_number": "414-963-9857",
            "fax_number": "414-273-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 N FARWELL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022329",
            "telephone_number": "414-273-2220",
            "fax_number": "414-273-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPCHIK",
        "first_name": "EVE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "38-123 AND 119-124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39525900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.