Active NPI
Holifield Counseling and Consulting
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Glendale, WI
National Provider Identifier
1730224130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 3086-123
- Legal business name
- HOLIFIELD COUNSELING AND CONSULTING
- Practice address
- 6944 N Port Washington Rd
Glendale, WI 53217-3923 - Phone
- (414) 702-6130
- NPI assigned
- Feb 21, 2007
- 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. James Walter Holifield, LCSW
- Title
- Owner
- Phone
- (414) 702-6130
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 3086-123 | WI | Primary |
Addresses
Primary practice location
6944 N Port Washington Rd
Glendale, WI 53217-3923
Mailing address
6944 N Port Washington Rd
Glendale, WI 53217-3923
Phone (414) 702-6130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39293200 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344470400000",
"number": "1730224130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6944 N PORT WASHINGTON RD",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532173923",
"telephone_number": "414-702-6130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6944 N PORT WASHINGTON RD",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532173923",
"telephone_number": "414-702-6130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLIFIELD COUNSELING AND CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2012-08-09",
"status": "A",
"authorized_official_last_name": "HOLIFIELD",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "WALTER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "414-702-6130",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "WI",
"license": "3086-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39293200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.