Milwaukee Art Therapy Collective LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MILWAUKEE ART THERAPY COLLECTIVE LLC

Practice address

9224 W Burleigh St
Milwaukee, WI 53222-3503

Phone

(414) 367-9869

NPI assigned

Sep 7, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Tanya L PetersNPI 1992280218

Title

Founder

Phone

(608) 516-5702

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Tanya Lynn Peters, MS, LPC, SAC-IT

  • Mental Health Counselor
  • Milwaukee, WI
  • NPI 1992280218

  Mental Health

  NPD Authorized official
• Sarah Farthing Tester, LPC-IT, ATR-P

  • Professional Counselor
  • Milwaukee, WI
  • NPI 1568299238
  NPD

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

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599436800000",
    "number": "1962016949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9224 W BURLEIGH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532223503",
            "telephone_number": "414-367-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9224 W BURLEIGH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532223503",
            "telephone_number": "414-367-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE ART THERAPY COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-07",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "608-516-5702",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.

Verify at the official NPI Registry.