TONYETTA L ROSS LPC CSAC NPI 1003132473

NPI Information

NPI: 1003132473
Provider Name: TONYETTA L ROSS, LPC, CSAC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
5330 W VILLARD AVE
MILWAUKEE, WI
ZIP 53218
Phone: (414) 488-6291
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Tonyetta L Ross, LPC, CSAC is a professional counselor in Milwaukee, WI. Tonyetta L Ross, LPC, CSAC NPI is 1003132473. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5330 W VILLARD AVE
MILWAUKEE, WI
ZIP 53218-345
Phone: (414) 488-6291
Fax: (414) 488-6293

The enumeration date for this NPI number is 4/10/2010 and was last updated on 12/12/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		16074-132	WISCONSIN	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
3	101YM0800X	Counselor	Mental Health			No
4	101YP2500X	Counselor	Professional			Yes
5	101YP2500X	Counselor	Professional	7597-125	WISCONSIN	No
6	171M00000X	Case Manager/Care Coordinator				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12088599	OTHER	WISCONSIN	CAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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