Sharais G Alvarado Pacheco, LPC
Individual provider Active NPI Professional Counselor · Milwaukee, WI
NPI 1720640329 · NPPES record last updated Jun 26, 2023
Key facts
- NPI
- 1720640329
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 4382226 (WI)
- Practice address
- 2906 S 20TH St
Milwaukee, WI 53215-3732 - Phone
- (414) 672-1353
- Fax
- (414) 645-0232
- NPI assigned
- Jul 3, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- 16TH Street Community Health Center Inc.
Practice addresses (Care Compare)
2906 S 20TH St
Milwaukee, WI 53215-3732
Phone (414) 672-1353
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240118001335 | WI | Practitioner - Mental Health Counselor | 3779987854 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4382226 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 16TH Street Community Health Center Inc. | Current |
Accepting new patients | |
| Sixteenth Street Community Health Centers, Inc. | Current |
Accepting new patients | |
| 16TH Street Community Health Center Inc. | Current | Accepting new patients |
Locations
2906 S 20th St
Milwaukee, WI 53215
Phone (414) 385-8800
1635 W National Ave
Milwaukee, WI 53204
Phone (262) 408-5094
1032 S Cesar E Chavez Dr
Milwaukee, WI 53204
4570 S 27th St
Milwaukee, WI 53221
Phone (414) 325-8720
309 E North St
Waukesha, WI 53188
Phone (262) 408-2530
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4382226 | WI | Yes |
Addresses
Primary practice location
2906 S 20TH St
Milwaukee, WI 53215-3732
Mailing address
PO Box 778789
Chicago, IL 60677-8789
Phone (414) 672-1353
Other names
- Sharais G Alvarado
Other providers in Milwaukee, WI
- Altru Care
- Altruistic Supportive Services
- Margaret Altschaefl
- Diana Altstadt
- Aluxx Supportive Care Agency
- James Anthony Alvarado III
- Waylon Alvarado
- Jerico Isiderio Alvaran
- Juliana Alvarez Argote
- Della H Alvarez
All providers in Milwaukee, WI · Professional Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.