Individual provider Active NPI

Josie Cusma, MSW,LCSW

  • Mental Health Counselor
  • Brookfield, WI
National Provider Identifier
1790859353
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6588-123 Issued in WI
Practice address
13965 W Burleigh Rd Ste 203
Brookfield, WI 53005-3064
Phone
(262) 785-2776
Fax
(262) 785-2773
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6588-123 WI Primary

Addresses

Primary practice location

13965 W Burleigh Rd Ste 203
Brookfield, WI 53005-3064

Mailing address

N87W16462 Jacobson Dr
Menomonee Falls, WI 53051-2833
Phone (262) 255-1040

Other identifiers 1

IdentifierTypeStateIssuer
6588-123OtherWILICENSE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6588-123WIMDMental Health Counselor
6588WIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790859353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N87W16462 JACOBSON DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530512833",
            "telephone_number": "262-255-1040",
            "fax_number": "262-255-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13965 W BURLEIGH RD STE 203",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530053064",
            "telephone_number": "262-785-2776",
            "fax_number": "262-785-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSMA",
        "first_name": "JOSIE",
        "credential": "MSW,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "6588-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6588-123",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 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.

Verify at the official NPI Registry.