Organization Active NPI

Growth Support Services, LLC

  • Professional Counselor
  • Wauwatosa, WI
National Provider Identifier
1700621679
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GROWTH SUPPORT SERVICES, LLC
Practice address
11803 W North Ave Ste 206
Wauwatosa, WI 53226-2077
Phone
(414) 293-3966
NPI assigned
Jul 1, 2024
Last updated
Jul 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Erionia Dixon, LPCNPI 1205486511
Title
Owner
Phone
(414) 293-3966

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

11803 W North Ave Ste 206
Wauwatosa, WI 53226-2077

Mailing address

11803 W North Ave Ste 206
Wauwatosa, WI 53226-2077
Phone (414) 293-3966

National Provider Directory

National Provider Directory

Locations

11803 W North Ave
Ste 206
Wauwatosa, WI 53226
Phone (414) 293-3966

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1700621679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11803 W NORTH AVE STE 206",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262077",
            "telephone_number": "414-293-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11803 W NORTH AVE STE 206",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262077",
            "telephone_number": "414-293-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWTH SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "ERIONIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-293-3966",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.