Nova Mental Health Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NOVA MENTAL HEALTH SERVICES, LLC

Practice address

4465 N Oakland Ave Ste 360
Shorewood, WI 53211-1681

Phone

(414) 775-3278

NPI assigned

Apr 8, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Tayler Simone Clark-Condon, LCSW

Title

Owner/ Psychotherapist

Phone

(608) 213-9869

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Faythe Brennan

  • Mental Health Counselor
  • Shorewood, WI
  • NPI 1053292649
  NPD
• Tayler Simone Clark, LCSW

  • Clinical Social Worker
  • Shorewood, WI
  • NPI 1982132817
  NPD
• Ashley N Trapp, LPC-IT

  • Counselor
  • Menomonee Falls, WI
  • NPI 1063231793
  NPD

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1891375432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3034 S WENTWORTH AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532073017",
            "telephone_number": "608-213-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 N OAKLAND AVE STE 360",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111681",
            "telephone_number": "414-775-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "CLARK-CONDON",
        "authorized_official_first_name": "TAYLER",
        "authorized_official_middle_name": "SIMONE",
        "authorized_official_title_or_position": "OWNER/ PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "608-213-9869",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Mussak, LAC
• Molly Patricia Niebrugge, M.S., CCC-SLP
• North Cape Acupuncture
• North Shore Pharmacy Inc
• Maria Teresa Noth, L.AC., L.M.T.
• NS Health Care LLC
• NS Health Care LLC
• Nurses Now, LLC
• Linda Louise Oczus, RN
• Pamela Ogor, D.O.

• Clinical Social Worker in Shorewood, WI
• Providers in Shorewood, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.