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MINDSTAR COUNSELING LLC. NPI 1346579653


NPI Information

NPI: 1346579653
Provider Name: MINDSTAR COUNSELING, LLC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4025 N 92ND ST
WAUWATOSA, WI
ZIP 53222
Phone: (414) 435-1115
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MINDSTAR COUNSELING, LLC. is a mental health counselor in Wauwatosa, WI. MINDSTAR COUNSELING, LLC. NPI is 1346579653. The provider is registered as an organization entity type.

The provider's business location address is:

4025 N 92ND ST
WAUWATOSA, WI
ZIP 53222-613
Phone: (414) 435-1115
Fax: (414) 435-0543

The provider's authorized official is Starlette Marie Patterson .
The authorized official title is Clinic Administrator and has the following contact phone number (414) 435-1115.

The enumeration date for this NPI number is 12/15/2009 and was last updated on 2/21/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2101YM0800XCounselorMental HealthYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11346579653MEDICAIDWISCONSIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.