Alfonzo Watkins, MSE, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC 3748-125 Issued in WI

Practice address

1230 E Auer Ave Suite 211
The Wake Up Program LLC
Milwaukee, WI 53212-2257

Phone

(414) 372-4483

Fax

(414) 372-4483

NPI assigned

Nov 2, 2010

Last updated

Nov 2, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Group practices

Desert View Counseling and Consulting IncGroup PAC ID 4981644325, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Desert View Counseling and Consulting, Inc.

  dba Desert View Counseling & Consulting

  • Mental Health Counselor
  • Peoria, AZ
  • NPI 1124173471
  Medicare reassignment Care Compare group NPD
• Zion Institute

  • Health Service Clinic/Center
  • Phoenix, AZ
  • NPI 1225605595

  Counselor

  NPD (past)

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1861792202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 E AUER AVE SUITE 211",
            "address_2": "THE WAKE UP PROGRAM LLC",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122257",
            "telephone_number": "414-372-4483",
            "fax_number": "414-372-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 E AUER AVE SUITE 211",
            "address_2": "THE WAKE UP PROGRAM LLC",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122257",
            "telephone_number": "414-372-4483",
            "fax_number": "414-372-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "ALFONZO",
        "name_prefix": "Mr.",
        "credential": "MSE, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "LPC 3748-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43594100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen A Waterhouse-Skibicki, CRNA
• David A Waters, M.D.
• Richard D. Waters, MD
• Debra Ann Watford
• Teagan Aubree Watkins-Mudge, PA
• Sandra Denise Watkins, LPN
• Susan Watkins
• Ashleigh Watson
• Baron Watson, PTA
• Brandon MJ Watson, MD

• Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.