A Key to the Streets Foundation Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

A KEY TO THE STREETS FOUNDATION INC.

Doing business as

A Key To The Streets Foundation Inc.

Practice address

7010 N 60TH St Apt 101
Milwaukee, WI 53223-5112

Phone

(414) 759-4730

NPI assigned

Jan 18, 2023

Last updated

Jan 18, 2023By 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

Shaquan L Jefferson, MA-LPC-ITNPI 1245956424

Title

Mental Health Therapist

Phone

(414) 759-4730

Specialties & licenses 1

Addresses

Other names 1

• A Key To The Streets Foundation Inc. Doing business as

Electronic endpoints 1

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.

• Shaquan L Jefferson

  • Mental Health Counselor
  • Brown Deer, WI
  • NPI 1245956424
  NPD Authorized official

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1992410500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5483",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532050483",
            "telephone_number": "414-759-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 N 60TH ST APT 101",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532235112",
            "telephone_number": "414-759-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A KEY TO THE STREETS FOUNDATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "SHAQUAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "414-759-4730",
        "authorized_official_credential": "MA-LPC-IT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Akey2TheStreetsFoundation@gmail.com",
            "affiliation": "N",
            "endpointDescription": "primary email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email address",
            "address_1": "7010 N 60th St Apt 101",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532235112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "A Key To The Streets Foundation Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.