Organization Active NPI

Crossfire Christian Counseling, LLC

  • Professional Counselor
  • Milwaukee, WI
National Provider Identifier
1780021030
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1775-226 Issued in WI
Legal business name
CROSSFIRE CHRISTIAN COUNSELING, LLC
Practice address
3829 W Florist Ave
Milwaukee, WI 53209-3637
Phone
(262) 716-7398
NPI assigned
May 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Authorized official

Name
Melissa NelsonNPI 1205273547
Title
Owner
Phone
(262) 716-7398

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 1775-226 WI Primary

Addresses

Primary practice location

3829 W Florist Ave
Milwaukee, WI 53209-3637

Mailing address

4530 W Willow Rd
Mequon, WI 53092-4546
Phone (262) 716-7398

National Provider Directory

National Provider Directory

Locations

3829 W Florist Ave
Milwaukee, WI 53209
Phone (262) 716-7398

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": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1780021030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 W WILLOW RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530924546",
            "telephone_number": "262-716-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 W FLORIST AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532093637",
            "telephone_number": "262-716-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSFIRE CHRISTIAN COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-716-7398"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "1775-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 28, 2013; 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.