Organization Active NPI

Icf Consultants, Inc.

  • Community/Behavioral Health Agency
  • Milwaukee, WI
National Provider Identifier
1962568998
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1429 Issued in WI
Legal business name
ICF CONSULTANTS, INC.
Practice address
1524 N Farwell Ave
Milwaukee, WI 53202-2329
Phone
(414) 273-2220
Fax
(414) 273-2223
NPI assigned
Dec 27, 2006
Last updated
Jul 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Dr. Marilyn Jeanne Bonjean, ED.D.NPI 1295890606
Title
President
Phone
(414) 273-2220

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
Community/Behavioral Health Agency 251S00000X 1429 WI Primary

Addresses

Primary practice location

1524 N Farwell Ave
Milwaukee, WI 53202-2329

Mailing address

1524 N Farwell Ave
Milwaukee, WI 53202-2329
Phone (414) 273-2220

Other identifiers 1

IdentifierTypeStateIssuer
42145500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310001493 WI Part B Supplier - Clinic/Group Practice 9234028168 Receives reassigned benefits from 3 practitioners
Practice locations: Milwaukee, WI

National Provider Directory

National Provider Directory
Tax ID family
Icf Consultants Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

700 Pilgrim Pkwy
Ste 201
Elm Grove, WI 53122
Phone (262) 784-5050

1524 N Farwell Ave
Milwaukee, WI 53202
Phone (414) 272-2220

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1962568998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 N FARWELL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022329",
            "telephone_number": "414-273-2220",
            "fax_number": "414-273-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 N FARWELL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022329",
            "telephone_number": "414-273-2220",
            "fax_number": "414-273-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICF CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "BONJEAN",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-273-2220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "1429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42145500",
            "state": "WI"
        }
    ],
    "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 Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.