ALICE FAYE PORTIS-PATTERSON MSW NPI 1568515922

NPI Information

  • NPI: 1568515922
  • Provider Name: ALICE FAYE PORTIS-PATTERSON, MSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6939 MARINER DR
    SUITE C
    RACINE, WI
    ZIP 53406
  • Phone: (262) 886-8702

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NPI Details

Alice Faye Portis-patterson, MSW is a mental health counselor in Racine, WI with 38 years of experience. Alice Faye Portis-patterson, MSW NPI is 1568515922. 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:

6939 MARINER DR
SUITE C
RACINE, WI
ZIP 53406-938
Phone: (262) 886-8702
Fax: (262) 886-8713

The NPI 1568515922 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 7/8/2007.

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 Health947-125WISCONSINYes

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
139228200MEDICAIDWISCONSIN
2222157OTHERWISCONSINVALUE OPTION

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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