FAMILY OPTIONS COUNSELING LLC NPI 1164571667

NPI Information

NPI: 1164571667
Provider Name: FAMILY OPTIONS COUNSELING, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3505 N 124TH ST
BROOKFIELD, WI
ZIP 53005
Phone: (414) 431-4444
Get Directions

FAMILY OPTIONS COUNSELING, LLC is a mental health (including community mental health center) clinic center in Brookfield, WI. FAMILY OPTIONS COUNSELING, LLC NPI is 1164571667. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3505 N 124TH ST
BROOKFIELD, WI
ZIP 53005-489
Phone: (414) 431-4444
Fax: (414) 431-0858

The provider's authorized official is Christina Diorio .
The authorized official title is Owner/psychologist and has the following contact phone number (414) 431-4444.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 10/7/2022.

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	101YM0800X	Counselor	Mental Health			No
2	101YP2500X	Counselor	Professional	3333-125	WISCONSIN	No
3	101YP2500X	Counselor	Professional			No
4	103T00000X	Psychologist				No
5	103TC0700X	Psychologist	Clinical	2495-057	WISCONSIN	No
6	103TC0700X	Psychologist	Clinical	2299-057	WISCONSIN	No
7	103TC0700X	Psychologist	Clinical	2512-057	WISCONSIN	No
8	103TC0700X	Psychologist	Clinical	2066-057	WISCONSIN	No
9	1041C0700X	Social Worker	Clinical	7088-123	WISCONSIN	No
10	1041C0700X	Social Worker	Clinical			No
11	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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	100001107	MEDICAID	WISCONSIN
2	40956400	MEDICAID	WISCONSIN

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: 4/28/2024

NPI Synchronization or Removal

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