Mila Cerise, PEER SUPPORT

Primary specialty

CounselorTaxonomy code 101Y00000X

License

91222 Issued in WI

Practice address

1310 Mendota St Ste 115
Madison, WI 53714-1060

Phone

(604) 640-4007

Fax

(608) 640-4887

NPI assigned

Nov 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Monarch Behavioral Health Center LLC

  • Clinical Social Worker
  • Madison, WI
  • NPI 1497380505
  NPD

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1922718238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 MENDOTA ST STE 115",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141060",
            "telephone_number": "604-640-4007",
            "fax_number": "608-640-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 MENDOTA ST STE 115",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141060",
            "telephone_number": "604-640-4007",
            "fax_number": "608-640-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERISE",
        "first_name": "MILA",
        "credential": "PEER SUPPORT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "91222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centerpoint Somatic Therapy and Wellness, LLC
• Central Wisconsin Express Transit LLC
• Sara A. B. Cerar, LPC, CSAC
• Melissa Ann Cercone, MD
• Manuel Cerda, LPC-IT, SAC-IT
• Taylor Cerminara
• Heather E Certain, MD
• Christopher W Cervantes, MD
• Jack Ryan Cervantes, PT, DPT
• Lisa L Cervantes, PAC

• Counselor in Madison, WI
• Providers in Madison, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.