Shoreview Counseling Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SHOREVIEW COUNSELING SERVICES

Practice address

4950 N 21St St
Lower Level
Milwaukee, WI 53209-5750

Phone

(414) 301-1163

NPI assigned

Sep 27, 2013

Last updated

Sep 27, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Albert L JacksonNPI 1720421795

Title

Ceo

Phone

(414) 301-1163

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Albert Jackson, AODA

  • Community/Behavioral Health Agency
  • Milwaukee, WI
  • NPI 1720421795
  Authorized official Same address or phone

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1962839589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 N 21ST ST",
            "address_2": "LOWER LEVEL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095750",
            "telephone_number": "414-301-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 N 21ST ST",
            "address_2": "LOWER LEVEL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095750",
            "telephone_number": "414-301-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOREVIEW COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-301-1163",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Shmidheiser, OTR/L
• Adam Shoffner
• Shore Counseling and Consulting Clinic, S.C.
• Shorehaven Behavioral Health Inc
• Shoreside Therapies
• Shoreview Pediatrics, S.C.
• Shorewood Opticians
• Krista Shorey, CNP
• Kerry Short, NP
• Sophia Short, MA, CNA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.