NPIMap

Organization Active NPI

Wade Koski LLC

  • Adult Mental Health Clinic/Center
  • Greenfield, WI
National Provider Identifier
1992106595
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
WADE KOSKI LLC
Practice address
4402 S 68TH St
Suite #100
Greenfield, WI 53220-3479
Phone
(414) 467-2477
Fax
(414) 321-0552
NPI assigned
Sep 15, 2014
Last updated
Sep 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Mr. Wade Koski, LCSWNPI 1235201914
Title
Member
Phone
(414) 467-2477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

4402 S 68TH St
Suite #100
Greenfield, WI 53220-3479

Mailing address

4402 S 68TH St
Suite #100
Greenfield, WI 53220-3479
Phone (414) 467-2477

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1992106595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 S 68TH ST",
            "address_2": "SUITE #100",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532203479",
            "telephone_number": "414-467-2477",
            "fax_number": "414-321-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 S 68TH ST",
            "address_2": "SUITE #100",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532203479",
            "telephone_number": "414-467-2477",
            "fax_number": "414-321-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADE KOSKI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "KOSKI",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "414-467-2477",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.