Shakari Lewis, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6866-125 Issued in WI

Practice address

5205 N Ironwood Rd Ste 117
Glendale, WI 53217-4907

Phone

(414) 502-9355

NPI assigned

Jun 14, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Divine Wellness & Counseling, LLC

  • Professional Counselor
  • Glendale, WI
  • NPI 1790259703
  NPD (past)

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1821658626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 N IRONWOOD RD STE 117",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174909",
            "telephone_number": "414-502-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 N IRONWOOD RD STE 117",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174907",
            "telephone_number": "414-502-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SHAKARI",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6866-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Leigh Leetzow, D.P.T.
• Megan Nicole Hunjadi Legros, DDS
• Lending Hands Healthcare, Inc.
• Brandy L Lester
• Scott James Lewis, D.D.S.
• Verlynuette Lewis, SOCIAL WORKER
• Yee-Kit Li
• Andrew Alan Lijewski, D.C.
• Arnold A Lim, M.D.
• Karen S Lim, APNP

• Professional Counselor in Glendale, WI
• Providers in Glendale, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.