Active NPI
Joseph M Halaiko
- Mental Health Counselor
- Milwaukee, WI
National Provider Identifier
1740791532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3708-226
- 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, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3708-226 | Other | WI | LPC 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3708-226 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munawar LLC | Mental Health | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.