Imani Counseling Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

413-7125 Issued in WI

Legal business name

IMANI COUNSELING SERVICES LLC

Practice address

13500 W Capitol Dr
Suite 104
Brookfield, WI 53005-2444

Phone

(414) 737-1820

Fax

(414) 455-5405

NPI assigned

May 29, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Kia Andrea Holloway, MS, LPCNPI 1669623674

Title

Owner / Psychotherapist

Phone

(414) 737-1820

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.

• Kia Holloway, LPC

  • Professional Counselor
  • Brookfield, WI
  • NPI 1669623674
  NPD (past) Authorized official

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1851738009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 W CAPITOL DR",
            "address_2": "SUITE 104",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052444",
            "telephone_number": "414-737-1820",
            "fax_number": "414-455-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 W CAPITOL DR",
            "address_2": "SUITE 104",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052444",
            "telephone_number": "414-737-1820",
            "fax_number": "414-455-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANI COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "KIA",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER / PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "414-737-1820",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "413-7125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 May 29, 2013; 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.