NPIMap

Organization Active NPI

River of Life Counseling & Consulting LLC

  • Professional Counselor
  • Thiensville, WI
National Provider Identifier
1891933743
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
189-125 Issued in WI
Legal business name
RIVER OF LIFE COUNSELING & CONSULTING LLC
Practice address
216 Green Bay Rd
Suite 204
Thiensville, WI 53092-1658
Phone
(414) 550-0659
Fax
(262) 242-1714
NPI assigned
Jan 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Pamela Franklin Elgin, LLC
Title
President
Phone
(414) 550-0659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 189-125 WI Primary

Addresses

Primary practice location

216 Green Bay Rd
Suite 204
Thiensville, WI 53092-1658

Mailing address

216 Green Bay Rd
Suite 204
Thiensville, WI 53092-1658
Phone (414) 550-0659

Other identifiers 2

IdentifierTypeStateIssuer
40969700OtherWIMEDICARE
189-125OtherWILPC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1891933743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 GREEN BAY RD",
            "address_2": "SUITE 204",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921658",
            "telephone_number": "414-550-0659",
            "fax_number": "262-242-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 GREEN BAY RD",
            "address_2": "SUITE 204",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921658",
            "telephone_number": "414-550-0659",
            "fax_number": "262-242-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER OF LIFE COUNSELING & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "ELGIN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-550-0659",
        "authorized_official_credential": "LLC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "189-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "40969700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "189-125",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thiensville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.