Active NPI
Julie Marie Fliss, LPC
- Professional Counselor
- Waukesha, WI
National Provider Identifier
1942826532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5732-125
- Practice address
- N17W24340 Riverwood Dr
Waukesha, WI 53188-1142 - Phone
- (262) 399-8954
- NPI assigned
- Jun 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 5732-125 | WI | Primary |
Addresses
Primary practice location
N17W24340 Riverwood Dr
Waukesha, WI 53188-1142
Mailing address
8023 W North Ave Apt 1
Wauwatosa, WI 53213-1697
Phone (414) 736-6567
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5732-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592524800000",
"number": "1942826532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8023 W NORTH AVE APT 1",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532131697",
"telephone_number": "414-736-6567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N17W24340 RIVERWOOD DR",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531881142",
"telephone_number": "262-399-8954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLISS",
"first_name": "JULIE",
"middle_name": "MARIE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-19",
"last_updated": "2020-06-19",
"certification_date": "2020-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "5732-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.