Elaine Marlene Kubicki

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

887-125 Issued in WI

Practice address

1025 S Moorland Rd Ste 403
Brookfield, WI 53005-6945

Phone

(262) 786-0411

Fax

(262) 786-9954

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elaine Marlene Blake Former name

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.

• Relationship Communication Center, Inc.

  • Mental Health Counselor
  • Brookfield, WI
  • NPI 1780748293
  NPD (past) Authorized official

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851455455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 S WILSHIRE DR",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531516217",
            "telephone_number": "262-786-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S MOORLAND RD STE 403",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056945",
            "telephone_number": "262-786-0411",
            "fax_number": "262-786-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBICKI",
        "first_name": "ELAINE",
        "middle_name": "MARLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "887-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "BLAKE",
            "middle_name": "MARLENE",
            "credential": "LPC, CADCIII",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Melissa Krueger, RDH
• Caroljean Victoria Krummel, COTA
• Elaine Marie Kruswicki
• Annelise Kryszak, OTR CLT
• Kara Ksobiech, PT
• Hillary A Kufahl Janicki, M.D.
• Mark Patrick Kuglitsch, D.D.S.
• Jackie Allen Kuhn, OTR
• Katherine Elizabeth Kuhn
• Angela M Kupper, LPC

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

• 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.