NPIMap

Organization Active NPI

Wisconsin Mental Health Alliance

  • Professional Counselor
  • Milwaukee, WI
National Provider Identifier
1881455970
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
WISCONSIN MENTAL HEALTH ALLIANCE
Practice address
11414 W Park PL Ste 202
Milwaukee, WI 53224-3500
Phone
(920) 382-0071
Fax
(262) 247-0654
NPI assigned
Jan 17, 2024
Last updated
Jan 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Dr. Gary Robert Probst, PSY.D.NPI 1609318567
Title
President
Phone
(920) 382-0071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

11414 W Park PL Ste 202
Milwaukee, WI 53224-3500

Mailing address

744 Ridge View Dr
Hartford, WI 53027-2808
Phone (192) 038-2007

Other practice location 1

N19W24400 Riverwood Dr Ste 350
Waukesha, WI 53188-1182
Phone (920) 382-0071

Other practice location 2

2301 Sun Valley Dr
Delafield, WI 53018-2318
Phone (920) 382-0071

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1881455970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 RIDGE VIEW DR",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530272808",
            "telephone_number": "192-038-2007",
            "fax_number": "262-234-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11414 W PARK PL STE 202",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532243500",
            "telephone_number": "920-382-0071",
            "fax_number": "262-247-0654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N19W24400 Riverwood Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531881182",
            "country_code": "US",
            "telephone_number": "920-382-0071",
            "fax_number": "262-247-0654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 Sun Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Delafield",
            "state": "WI",
            "postal_code": "530182318",
            "country_code": "US",
            "telephone_number": "920-382-0071",
            "fax_number": "262-247-0654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WISCONSIN MENTAL HEALTH ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "PROBST",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-382-0071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "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 Jan 17, 2024; 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.