NPIMap

Organization Active NPI

Christos Counseling

  • Clinical Social Worker
  • Elm Grove, WI
National Provider Identifier
1700972908
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 2027 Issued in WI
Legal business name
CHRISTOS COUNSELING
Practice address
12970 W. Bluemound Road
#105
Elm Grove, WI 53122
Phone
(262) 787-2904
Fax
(262) 787-2909
NPI assigned
Oct 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gary D. Heath, LCSW, LMFTNPI 1104981653
Title
President
Phone
(262) 787-2904

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)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW 2027 WI Primary

Addresses

Primary practice location

12970 W. Bluemound Road
#105
Elm Grove, WI 53122

Mailing address

12970 W. Bluemound Road
#105
Elm Grove, WI 53122
Phone (262) 787-2904

Other names 1

  • Christos Ministries, Inc. Other name

National Provider Directory

National Provider Directory
Tax ID family
Christos Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12970 W Bluemound Rd
Ste 105
Elm Grove, WI 53122
Phone (262) 787-2904

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": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700972908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12970 W. BLUEMOUND ROAD",
            "address_2": "#105",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "53122",
            "telephone_number": "262-787-2904",
            "fax_number": "262-787-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12970 W. BLUEMOUND ROAD",
            "address_2": "#105",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "53122",
            "telephone_number": "262-787-2904",
            "fax_number": "262-787-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-787-2904",
        "authorized_official_credential": "LCSW, LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "LCSW 2027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christos Ministries, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elm Grove, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.