Active NPI
Brenda J Grulke, LPC
- Professional Counselor
- Milwaukee, WI
National Provider Identifier
1902969496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5070-125
- Practice address
- 740 N Plankinton Ave
Suite 334
Milwaukee, WI 53203-2403 - Phone
- (414) 271-5577
- NPI assigned
- Dec 18, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5070-125 | WI | Primary |
Addresses
Primary practice location
740 N Plankinton Ave
Suite 334
Milwaukee, WI 53203-2403
Mailing address
PO Box 708
Brookfield, WI 53008
Phone (262) 825-3501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5070-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463702400000",
"number": "1902969496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 708",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "53008",
"telephone_number": "262-825-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 N PLANKINTON AVE",
"address_2": "SUITE 334",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532032403",
"telephone_number": "414-271-5577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRULKE",
"first_name": "BRENDA",
"middle_name": "J",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2016-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "5070-125",
"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 May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.