Active NPI
Anna J Holland, LPC
- Mental Health Counselor
- Milwaukee, WI
National Provider Identifier
1871937789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5060-125
- Practice address
- 5600 N. Brown Deer Road
Suite 216
Milwaukee, WI 53223-2311 - Phone
- (414) 355-5594
- Fax
- (414) 751-5166
- NPI assigned
- Apr 22, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5060-125 | WI | Primary |
Addresses
Primary practice location
5600 N. Brown Deer Road
Suite 216
Milwaukee, WI 53223-2311
Mailing address
5600 N. Brown Deer Road
216
Milwaukee, WI 53223-2311
Phone (414) 355-5594
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Services Group, Inc. | Mental Health | Current | Accepting new patients |
Locations
2108 63rd St
Kenosha, WI 53143
6233 39th Ave
Kenosha, WI 53142
Phone (262) 654-1004
1205 S 70th St
Ste 301
West Allis, WI 53214
Phone (414) 475-2788
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kenosha, WI
- NPI 1619024262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1871937789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5600 N. BROWN DEER ROAD",
"address_2": "216",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532232311",
"telephone_number": "414-355-5594",
"fax_number": "414-751-5166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 N. BROWN DEER ROAD",
"address_2": "SUITE 216",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532232311",
"telephone_number": "414-355-5594",
"fax_number": "414-751-5166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "ANNA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-22",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "5060-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.