Individual provider Active NPI

Christopher Michael Belkofer, LPC

  • Professional Counselor
  • Milwaukee, WI
National Provider Identifier
1801153309
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4783-125 Issued in WI
Practice address
2625 S Greeley St
Suite 205
Milwaukee, WI 53207-2027
Phone
(312) 933-9166
NPI assigned
Apr 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4783-125
Professional Counselor 101YP2500X 4783-125 WI Primary
Psychologist 103T00000X 4783-125 WI
Cognitive & Behavioral Psychologist 103TB0200X 4783-125 WI
Clinical Child & Adolescent Psychologist 103TC2200X 4783-125 WI
Group Psychotherapy Psychologist 103TP2701X 4783-125 WI
Marriage & Family Therapist 106H00000X 4783-125 WI

Addresses

Primary practice location

2625 S Greeley St
Suite 205
Milwaukee, WI 53207-2027

Mailing address

2625 S Greeley St
Suite 205
Milwaukee, WI 53207-2027

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

State licenses

LicenseStateTypeSpecialty
4783-125WIMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1801153309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 S GREELEY ST",
            "address_2": "SUITE 205",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532072027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 S GREELEY ST",
            "address_2": "SUITE 205",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532072027",
            "telephone_number": "312-933-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELKOFER",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "4783-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4783-125",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "4783-125",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "WI",
            "license": "4783-125",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "WI",
            "license": "4783-125",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "WI",
            "license": "4783-125",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "4783-125",
            "primary": false
        }
    ],
    "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 Apr 20, 2012; 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.