Patchwork Counseling Collective LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PATCHWORK COUNSELING COLLECTIVE LLC

Practice address

12425 Knoll Rd Ste 110
Elm Grove, WI 53122-2656

Phone

(414) 775-8107

NPI assigned

Aug 13, 2021

Last updated

Jun 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teresa Coste, LCSWNPI 1144888942

Title

Owner

Phone

(262) 470-5811

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teresa Rose Coste, LCSW

  • Social Worker
  • Elm Grove, WI
  • NPI 1144888942
  NPD Authorized official

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1851066518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12425 KNOLL RD STE 110",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222656",
            "telephone_number": "414-775-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12425 KNOLL RD STE 110",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222656",
            "telephone_number": "414-775-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATCHWORK COUNSELING COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "COSTE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-470-5811",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Marie Oliveri
• Optum Behavioral Care of Colorado, P.C. (Red Oak Counseling of Wisconsin)
• Anne Catherine Paczesny, LCSW
• Pals Inc
• David Andrew Paris, D.D.S.
• Joseph Anthony Pavletich Jr., D.D.S.
• Pediatrics MD
• Loren-Ashley Peterson, PHARMD
• Jill M Petryczkiewycz, PHYSICAL THERAPIST
• Julie D Powers, PHYSICAL THERAPY ASS

• Mental Health Clinic/Center (Including Community Mental Health Center) in Elm Grove, WI
• Providers in Elm Grove, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.