IMMANUEL RICH LPC SAC-T NCC NPI 1184196800

NPI Information

  • NPI: 1184196800
  • Provider Name: IMMANUEL RICH, LPC, SAC-T, NCC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 8901 W CAPITOL DR
    MILWAUKEE, WI
    ZIP 53222
  • Phone: (414) 463-1880

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NPI Details

Immanuel Rich, LPC, SAC-T, NCC is a mental health counselor in Milwaukee, WI. Immanuel Rich, LPC, SAC-T, NCC NPI is 1184196800. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8901 W CAPITOL DR
MILWAUKEE, WI
ZIP 53222-706
Phone: (414) 463-1880

The enumeration date for this NPI number is 12/19/2018 and was last updated on 11/13/2020.

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
1101YM0800XCounselorMental Health4064-226WISCONSINYes

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
1100099141MEDICAIDWISCONSIN

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: 3/30/2025

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