Active NPI
Charles Howard Eigen, L.P.C.
- Professional Counselor
- Brookfield, WI
National Provider Identifier
1992716922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2950-125
- Practice address
- 16535 W Bluemound Rd Ste 200
Brookfield, WI 53005-5906 - Phone
- (262) 542-3255
- Fax
- (262) 821-6180
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2950-125 | WI | Primary |
Addresses
Primary practice location
16535 W Bluemound Rd Ste 200
Brookfield, WI 53005-5906
Mailing address
2958 S Mabbett Ave
Milwaukee, WI 53207-2525
Phone (262) 542-3255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2950-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992716922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2958 S MABBETT AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532072525",
"telephone_number": "262-542-3255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16535 W BLUEMOUND RD STE 200",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530055906",
"telephone_number": "262-542-3255",
"fax_number": "262-821-6180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EIGEN",
"first_name": "CHARLES",
"middle_name": "HOWARD",
"name_prefix": "Mr.",
"credential": "L.P.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "2950-125",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.