EASTER SEALS SOUTHEAST WISCONSIN (NPI# 1396037511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396037511 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS SOUTHEAST WISCONSIN |
| Practice Address |
3090 N 53rd St Milwaukee WI 53210-1617 |
| Practice Telephone | 4144494444 |
| Mailing Telephone | 4144494444 |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2011-05-05 |
| Authorized Official Name | MS. KIMBERLY JUROWSKI (BEHAVIOR ANALYST) |
| Authorized Official Telephone | 2625815394 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | Y |
| Parent Organization Name | EASTER SEALS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | BCBA 103K00000X | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41209100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649778861 | Easter Seals Southeast Wisconsin | Day Training, Developmentally Disabled Services | 7101 53rd St, Kenosha, WI 53144-7848 | 2018-01-23 |
| 1912448283 | Easter Seals Southeast Wisconsin | Day Training, Developmentally Disabled Services | 1120 Baxter St, Waukesha, WI 53186-3884 | 2017-03-20 |
| 1053852079 | Easter Seals Southeast Wisconsin | Day Training, Developmentally Disabled Services | 201 Wisconsin Ave, Waukesha, WI 53186-4926 | 2017-03-09 |
| 1073839528 | Easter Seals Southeast Wisconsin | Respite Care | 1016 Milwaukee Ave, South Milwaukee, WI 53172-2006 | 2010-04-08 |
| 1164664603 | Easter Seals Southeast Wisconsin | Day Training, Developmentally Disabled Services | 505 Northview Road, Waukesha, WI 53188 | 2009-03-30 |
| 1265973283 | Easter Seals Southeast Wisconsin | Day Training, Developmentally Disabled Services | 207 Lake Dr, South Milwaukee, WI 53172-1210 | 2017-03-09 |
| Street Address |
3090 N 53RD ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53210-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578540803 | Eric T Decker | Speech-Language Pathologist | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2005-12-28 |
| 1235776733 | Lakshmi Karri | Case Manager/Care Coordinator | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-12-03 |
| 1235772237 | Shemika J Green | Counselor | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-10-22 |
| 1063055192 | Jerome Allen Larson | Peer Specialist | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-10-22 |
| 1982247011 | Mary Jo Joyce | Case Manager/Care Coordinator | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-10-22 |
| 1982246971 | Jamia Bryant | Case Manager/Care Coordinator | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-10-11 |
| 1811538358 | Kayla Danielle Stevenson | Case Manager/Care Coordinator | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-10-07 |
| 1699316000 | Bianca Johnson | Case Manager/Care Coordinator | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-10-07 |
| 1104467752 | Loriann Thomas | Case Manager/Care Coordinator | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-10-04 |
| 1336780899 | Avina Richards | Case Manager/Care Coordinator | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499514 | Mckenzie Lisa Lambeck | Non-emergency Medical Transport (VAN) | 3016a N 36th St, Milwaukee, WI 53210 | 2020-08-31 |
| 1922572312 | Walter's Second Chance of Milwaukee, LLC. | In Home Supportive Care | 3043 N. 29th Street, Milwaukee, WI 53210 | 2019-01-18 |
| 1407353469 | Angie F Caballero | Assisted Living Facility | 5918 N 62nd Street, Milwaukee, WI 53210 | 2018-04-06 |
| 1689182636 | Kimberly Casey | Counselor | 5325 W.burleigh, Milwaukee, WI 53210 | 2018-01-11 |
| 1336663640 | Daron Mosby | Counselor | 2643 N 55th St., 2643 N 55th St., Milwaukee, WI 53210 | 2017-07-28 |
| 1881117174 | Advance Home Care, LLC | In Home Supportive Care | 6001 W Center St Ste 98ll, Milwaukee, WI 53210 | 2017-07-19 |
| 1285181735 | Aurora Family Services | Clinic/Center | 3200 W. Highland Blvd, Aurora Family Services, Milwaukee, WI 53210 | 2016-09-01 |
| 1447625264 | Kimberly Beckham | Registered Nurse | 3040 N 40th Street, Milwaukee, WI 53210 | 2015-12-04 |
| 1033595319 | Wisconsin Lutheran Child & Family Service Inc. | Social Worker | 207 North Sherman Blvd, Milwaukee, WI 53210 | 2015-08-10 |
| 1346633112 | Quiana Davis | Licensed Practical Nurse | 2478 North 34th Street, Milwaukee, WI 53210 | 2015-03-18 |
| Find all providers in zip 53210 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968990 | Zoran Jovicic | Community/Behavioral Health | 3239 S 58th St Unit 104, Milwaukee, WI 53219-4365 | 2020-10-08 |
| 1548816580 | Latara Williams | Community/Behavioral Health | 2447 N 50th St, Milwaukee, WI 53210-2815 | 2019-08-15 |
| 1942856091 | Kennedy's Circle of Wellness LLC | Community/Behavioral Health | 3614 W North Ave, Milwaukee, WI 53208-1416 | 2019-08-14 |
| 1205391828 | Jerome Pitchford | Community/Behavioral Health | 1220 W Atkinson Ave, Milwaukee, WI 53206-3024 | 2019-02-07 |
| 1194233718 | The Evolving Chair Counseling and Consulting Agency | Community/Behavioral Health | 3100 N 78th St, Milwaukee, WI 53222-3916 | 2018-01-17 |
| 1316453905 | D.a.a.n.i Professional Counseling Service LLC | Community/Behavioral Health | 2943 N 52nd St, Milwaukee, WI 53210-1610 | 2017-12-19 |
| 1932654845 | The Thresholds | Community/Behavioral Health | 6815 W Capitol Dr # 305, Milwaukee, WI 53216-2070 | 2016-08-20 |
| 1801341144 | Fly Philanthropy Inc | Community/Behavioral Health | 3352 N Palmer St, Milwaukee, WI 53212-1541 | 2016-08-16 |
| 1659726545 | Pathway Youth & Famiy Services | Community/Behavioral Health | 3879 N Port Washington Rd, Milwaukee, WI 53212-1180 | 2016-04-27 |
| 1528413671 | Adventures In Play, LLC | Community/Behavioral Health | 2118 E Kenilworth Pl, Lowr, Milwaukee, WI 53202-1327 | 2016-04-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.