Active NPI
Birt Supportive Services LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- BIRT SUPPORTIVE SERVICES LLC
- Practice address
- 6815 W Capitol Dr Ste 105
Milwaukee, WI 53216-2056 - Phone
- (414) 522-6800
- Fax
- (414) 240-8497
- NPI assigned
- Oct 4, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Reginald Birt, LCSW, MBA
- Title
- Psychotherapist
- Phone
- (414) 522-6800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
6815 W Capitol Dr Ste 105
Milwaukee, WI 53216-2056
Mailing address
4868 N 89TH St
Milwaukee, WI 53225-4106
Phone (414) 522-6800
Other practice location 1
4868 N 89th St
Milwaukee, WI 53225-4106
Phone (414) 331-9055
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Milwaukee, WI
- NPI 1487999207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650931200000",
"number": "1689149700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4868 N 89TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532254106",
"telephone_number": "414-522-6800",
"fax_number": "414-240-8497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6815 W CAPITOL DR STE 105",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532162056",
"telephone_number": "414-522-6800",
"fax_number": "414-240-8497"
}
],
"practiceLocations": [
{
"address_1": "4868 N 89th St",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532254106",
"country_code": "US",
"telephone_number": "414-331-9055",
"fax_number": "414-616-0316",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BIRT SUPPORTIVE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-04",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A",
"authorized_official_last_name": "BIRT",
"authorized_official_first_name": "REGINALD",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "414-522-6800",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW, MBA"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.