Active NPI
Mary Ann Mitchell, MA COUNSELING AND BE
- Professional Counselor
- Milwaukee, WI
National Provider Identifier
1780753202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1901125
- Practice address
- 5215 N Ironwood Rd
Milwaukee, WI 53217 - Phone
- (262) 821-7027
- Fax
- (414) 332-0855
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1901125 | WI | Primary |
Addresses
Primary practice location
5215 N Ironwood Rd
Milwaukee, WI 53217
Mailing address
5215 N Ironwood Rd
Milwaukee, WI 53217
Phone (262) 821-7027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor or Engineering, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1901125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780753202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5215 N IRONWOOD RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53217",
"telephone_number": "262-821-7027",
"fax_number": "414-332-0855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5215 N IRONWOOD RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53217",
"telephone_number": "262-821-7027",
"fax_number": "414-332-0855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "MARY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MA COUNSELING AND BE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "1901125",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.