Individual provider Active NPI

Julianne Witthuhn, MS

  • Professional Counselor
  • Wauwatosa, WI
National Provider Identifier
1760649479
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4312-125 Issued in WI
Practice address
10702 W Burleigh St
Wauwatosa, WI 53222-3310
Phone
(414) 777-0740
Fax
(414) 777-0749
NPI assigned
May 20, 2008
Last updated
Jan 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4312-125 WI Primary

Addresses

Primary practice location

10702 W Burleigh St
Wauwatosa, WI 53222-3310

Mailing address

10702 W Burleigh St
Wauwatosa, WI 53222-3310
Phone (414) 777-0740

Other names 1

  • Julianne Gleysteen Former name

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
I20240304000492 WI Practitioner - Mental Health Counselor 0042655847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Grove Clinic SCGroup PAC ID 2264476688, 15 clinicians

Practice addresses (Care Compare)

10012 W Capital Dr
Suite 101
Milwaukee, WI 53222-1300

10012 W Capitol Dr
Wauwatosa, WI 53222-1300

10012 W Capitol Dr
Milwaukee, WI 53222-1338
Phone (414) 810-4844

6416 S Howell Ave
Oak Creek, WI 53154-1104
Phone (414) 810-4844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Master of Science - Law

State licenses

LicenseStateTypeSpecialty
4312-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Behavioral Health Group, SC Past Accepting new patients

Organizations & group practices 2

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1760649479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10702 W BURLEIGH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532223310",
            "telephone_number": "414-777-0740",
            "fax_number": "414-777-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10702 W BURLEIGH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532223310",
            "telephone_number": "414-777-0740",
            "fax_number": "414-777-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTHUHN",
        "first_name": "JULIANNE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4312-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIANNE",
            "last_name": "GLEYSTEEN",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.