Organization Active NPI

Carol L Flanary, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brookfield, WI
National Provider Identifier
1982016846
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CAROL L FLANARY, LLC
Practice address
12645 W Burleigh Rd
Suite 20
Brookfield, WI 53005-3102
Phone
(414) 339-5559
NPI assigned
May 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Carol Flanary, MS, LPC
Title
Owner Member
Phone
(414) 339-5559

Specialties & licenses 1

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

Addresses

Primary practice location

12645 W Burleigh Rd
Suite 20
Brookfield, WI 53005-3102

Mailing address

12645 W Burleigh Rd
Suite 20
Brookfield, WI 53005-3102
Phone (414) 339-5559

Other identifiers 1

IdentifierTypeStateIssuer
1144487844MedicaidWI

National Provider Directory

National Provider Directory

Locations

12645 W Burleigh Rd
Ste 20
Brookfield, WI 53005
Phone (414) 339-5559

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1982016846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12645 W BURLEIGH RD",
            "address_2": "SUITE 20",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530053102",
            "telephone_number": "414-339-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12645 W BURLEIGH RD",
            "address_2": "SUITE 20",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530053102",
            "telephone_number": "414-339-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL L FLANARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "FLANARY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER MEMBER",
        "authorized_official_telephone_number": "414-339-5559",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144487844",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

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