Individual provider Active NPI

Brian K Westrate, M.A., LCP

  • Professional Counselor
  • Mount Pleasant, WI
National Provider Identifier
1851511299
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3778-125 Issued in WI
Practice address
4305 S Green Bay Rd
Mount Pleasant, WI 53403-9425
Phone
(262) 554-7215
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3778-125 WI Primary

Addresses

Primary practice location

4305 S Green Bay Rd
Mount Pleasant, WI 53403-9425

Mailing address

4305 S Green Bay Rd
Mount Pleasant, WI 53403-9425
Phone (262) 554-7215

Other practice location 1

310 Old Green Bay Rd
Kenosha, WI 53144-1125
Phone (262) 883-9400 ext. 2

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3778-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Counseling Center, Inc. CurrentSince Oct 27, 2019 Accepting new patients

Locations

310 Old Green Bay Rd
Kenosha, WI 53144
Phone (262) 649-6945

4305 Old Green Bay Rd
Mount Pleasant, WI 53403
Phone (262) 448-6888

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1851511299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 S GREEN BAY RD",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534039425",
            "telephone_number": "262-554-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 S GREEN BAY RD",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534039425",
            "telephone_number": "262-554-7215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Old Green Bay Rd",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531441125",
            "country_code": "US",
            "telephone_number": "262-883-9400 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTRATE",
        "first_name": "BRIAN",
        "middle_name": "K",
        "credential": "M.A., LCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3778-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.