Suzanne Popke, ED.D.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3668 Issued in WI

Practice address

155 E Capitol Dr
Suite 1
Hartland, WI 53029-2134

Phone

(262) 473-6119

NPI assigned

Apr 18, 2007

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 4, 2014.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1972729705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 333",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531900333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E CAPITOL DR",
            "address_2": "SUITE 1",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292134",
            "telephone_number": "262-473-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPKE",
        "first_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3668",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "WI",
            "license": "186-058",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Marie Pfeifer, LPC, MS
• Kathleen M Phelan, M.D.
• Stefanie L Pipia, R.N.
• Amelya L Pipkorn
• Deborah Lee Pomazal, R.N.
• Anne Bailey Porter, R.N.
• Elizabeth Anne Poth, LPC-IT, ATR
• Professional Inpatient Medical Services, LLC
• Prohealth Medical Group Inc
• Anne M. Rajnicek, RDH

• All providers in Hartland, WI
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.