NPIMap

Organization Active NPI

Multi-Cultural Counseling Services II Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukee, WI
National Provider Identifier
1962575266
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
1792 Issued in WI
Legal business name
MULTI-CULTURAL COUNSELING SERVICES II INC.
Practice address
1225 W Historic Mitchell St
Suite 223
Milwaukee, WI 53204-3383
Phone
(414) 383-4455
Fax
(414) 383-6759
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
Mr. Wayne William Croatt
Title
President
Phone
(414) 383-4455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1792 WI Primary

Addresses

Primary practice location

1225 W Historic Mitchell St
Suite 223
Milwaukee, WI 53204-3383

Mailing address

1225 W Historic Mitchell St
Suite 223
Milwaukee, WI 53204-3383
Phone (414) 383-4455

Other identifiers 1

IdentifierTypeStateIssuer
42127400MedicaidWI

Other names 1

  • Renew Counseling Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060425000071 WI Part B Supplier - Clinic/Group Practice 1850301672 Receives reassigned benefits from 11 practitioners
2 other NPIs on this enrollment
Practice locations: Milwaukee, WI

National Provider Directory

National Provider Directory

Locations

3975 N 68th St
Milwaukee, WI 53216
Phone (414) 722-3274

1225 W Mitchell St
Ste 223
Milwaukee, WI 53204
Phone (414) 383-4455

2801 W Wisconsin Ave
Stop 2
Milwaukee, WI 53208
Phone (414) 933-8700

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1962575266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 W HISTORIC MITCHELL ST",
            "address_2": "SUITE 223",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043383",
            "telephone_number": "414-383-4455",
            "fax_number": "414-383-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W HISTORIC MITCHELL ST",
            "address_2": "SUITE 223",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043383",
            "telephone_number": "414-383-4455",
            "fax_number": "414-383-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTI-CULTURAL COUNSELING SERVICES II INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "CROATT",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-383-4455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "1792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42127400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 1, 2008; 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.