Jacqueline Mae Halverson, ATR-BC AND SADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

11505-131 Issued in WI

Practice address

1233 N. Mayfair Rd
206
Wauwatosa, WI 53226-3255

Phone

(414) 302-1233

Fax

(414) 302-1234

NPI assigned

Jul 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1891992749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 S 55TH ST",
            "city": "W MILWAUKEE",
            "state": "WI",
            "postal_code": "532145250",
            "telephone_number": "414-546-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 N. MAYFAIR RD",
            "address_2": "206",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263255",
            "telephone_number": "414-302-1233",
            "fax_number": "414-302-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALVERSON",
        "first_name": "JACQUELINE",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "ATR-BC AND SADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "63-036",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "11505-131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Lee Haggerty, LPC-IT
• Mebrahtu Hagos, RPH
• Diane M. Halloran, O.T.
• Brian T Halm, PHARM D
• Wendy L Halm, APNP
• John T Hambrook, MD
• Karin Hamilton, M.D.
• Alexander Philip Hammond, MD
• Steven Bernard Hand, DO
• Karen S. Handrich, LCSW

• Addiction (Substance Use Disorder) Counselor in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.