NPIMap

Organization Active NPI

A New Breathe of Life Counseling & Consulting, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brookfield, WI
National Provider Identifier
1740929280
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
A NEW BREATHE OF LIFE COUNSELING & CONSULTING, LLC
Practice address
3235 N 124TH St Ste 1
Brookfield, WI 53005-3126
Phone
(262) 290-3315
Fax
(262) 458-4099
NPI assigned
Jun 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Authorized official

Name
Bonneka Seals, LPC, CSAC, ICS, NCCNPI 1093163065
Title
Ceo/Owner
Phone
(262) 290-3315

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

3235 N 124TH St Ste 1
Brookfield, WI 53005-3126

Mailing address

3235 N 124TH St Ste 1
Brookfield, WI 53005-3126
Phone (262) 290-3315

Other names 1

  • A New Breath(e) of Life Counseling & Consulting, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

3235 N 124th St
Ste 1
Brookfield, WI 53005
Phone (262) 290-3315

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1740929280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 N 124TH ST STE 1",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530053126",
            "telephone_number": "262-290-3315",
            "fax_number": "262-458-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 N 124TH ST STE 1",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530053126",
            "telephone_number": "262-290-3315",
            "fax_number": "262-458-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A NEW BREATHE OF LIFE COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "SEALS",
        "authorized_official_first_name": "BONNEKA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "262-290-3315",
        "authorized_official_credential": "LPC, CSAC, ICS, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A New Breath(e) of Life Counseling & Consulting, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.