KLS Community Outreach Teen Center Consulting and Management L.L.C.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

KLS COMMUNITY OUTREACH TEEN CENTER CONSULTING AND MANAGEMENT L.L.C.

Practice address

8330 North Teutonia Ave Suite 103
Brown Deer, WI 53209

Phone

(414) 236-5278

Fax

(414) 368-3051

NPI assigned

Jan 14, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Kenya Latrice Smith

Title

Ceo

Phone

(414) 236-5278

Specialties & licenses 3

Addresses

Other names 1

• KLS COMMUNITY RESOURCES Doing business as

Tax ID family

KLS Community Outreach Teen Center Consulting and Management LLC2 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.

• KLS Community Outreach Teen Center Consulting and Management L.L.C.

  • Early Intervention Provider Agency
  • Brown Deer, WI
  • NPI 1548659634
  NPD tax ID

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1962891994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8330 NORTH TEUTONIA AVE SUITE 103",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "53209",
            "telephone_number": "414-236-5278",
            "fax_number": "414-368-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 NORTH TEUTONIA AVE SUITE 103",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "53209",
            "telephone_number": "414-236-5278",
            "fax_number": "414-368-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLS COMMUNITY OUTREACH TEEN CENTER CONSULTING AND MANAGEMENT L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KENYA",
        "authorized_official_middle_name": "LATRICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-236-5278",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KLS COMMUNITY RESOURCES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Marie Klas, LMFT
• Nicole Klimowicz
• Bradley D Klinger, MA
• Jennifer Nell Klopfstein, M.D.
• KLS Community Outreach Teen Center Consulting and Management L.L.C.
• Gerald William Knoch, RPH
• Melissa Koff
• Lori Komisar, RN-BSN
• Jennifer Kramer
• Amy Kuechler, PSY.D.

• Voluntary or Charitable Agency in Brown Deer, WI
• Providers in Brown Deer, WI by specialty
• Voluntary or Charitable Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.