Individual provider Active NPI

Joseph M Halaiko

  • Mental Health Counselor
  • Milwaukee, WI
National Provider Identifier
1740791532
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3708-226 Issued in WI
Practice address
2021 N 60TH St
Milwaukee, WI 53208-1641
Phone
(414) 771-2881
Fax
(414) 771-1674
NPI assigned
Oct 19, 2017
Last updated
Oct 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3708-226 WI Primary

Addresses

Primary practice location

2021 N 60TH St
Milwaukee, WI 53208-1641

Mailing address

800 Wisconsin Ave
Racine, WI 53403-1526
Phone (262) 637-8888

Other identifiers 1

IdentifierTypeStateIssuer
3708-226OtherWILPC LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241101001799 WI Practitioner - Mental Health Counselor 4587197215 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3708-226WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Munawar LLC Mental Health CurrentSince Aug 11, 2024 Accepting new patients

Locations

18000 W Sarah Ln
Ste 210
Brookfield, WI 53045
Phone (262) 267-8752

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1740791532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WISCONSIN AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031526",
            "telephone_number": "262-637-8888",
            "fax_number": "262-637-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N 60TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532081641",
            "telephone_number": "414-771-2881",
            "fax_number": "414-771-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALAIKO",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3708-226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE",
            "identifier": "3708-226",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.