Active NPI
360 Support Services, LLC
- Mental Health Counselor
- Wauwatosa, WI
National Provider Identifier
1720990930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- 360 SUPPORT SERVICES, LLC
- Practice address
- 2578 N 124TH St Apt 458
Wauwatosa, WI 53226-1053 - Phone
- (414) 803-6422
- NPI assigned
- Sep 22, 2026
- Last updated
- Sep 22, 2026
- 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
- Jermesha West, LPC
- Title
- Owner/Mental Health Therapist
- Phone
- (608) 352-0243
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
2578 N 124TH St Apt 458
Wauwatosa, WI 53226-1053
Mailing address
2578 N 124TH St Apt 458
Wauwatosa, WI 53226-1053
Phone (414) 803-6422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790035200000",
"number": "1720990930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2578 N 124TH ST APT 458",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532261053",
"telephone_number": "414-803-6422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2578 N 124TH ST APT 458",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532261053",
"telephone_number": "414-803-6422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "360 SUPPORT SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-22",
"last_updated": "2026-09-22",
"certification_date": "2026-09-21",
"status": "A",
"authorized_official_last_name": "WEST",
"authorized_official_first_name": "JERMESHA",
"authorized_official_title_or_position": "OWNER/MENTAL HEALTH THERAPIST",
"authorized_official_telephone_number": "608-352-0243",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"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 Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.