Organization Active NPI

Andrea Kremer Therapy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenfield, WI
National Provider Identifier
1922404482
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
7297-123 Issued in WI
Legal business name
ANDREA KREMER THERAPY, LLC
Practice address
4402 S 68TH St
Suite 100
Greenfield, WI 53220-3479
Phone
(414) 748-6274
NPI assigned
Nov 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

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

Authorized official

Name
Andrea Mary Kremer, LCSWNPI 1407972730
Title
Licensed Clinical Social Worker
Phone
(414) 748-6274

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 7297-123 WI Primary

Addresses

Primary practice location

4402 S 68TH St
Suite 100
Greenfield, WI 53220-3479

Mailing address

2402 N 64TH St
Wauwatosa, WI 53213-1404
Phone (414) 748-6274

Other identifiers 1

IdentifierTypeStateIssuer
43702500MedicaidWI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415664000000",
    "number": "1922404482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 N 64TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131404",
            "telephone_number": "414-748-6274",
            "fax_number": "414-321-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 S 68TH ST",
            "address_2": "SUITE 100",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532203479",
            "telephone_number": "414-748-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA KREMER THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "last_updated": "2014-11-11",
        "status": "A",
        "authorized_official_last_name": "KREMER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "414-748-6274",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "7297-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43702500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; 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.