Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1235150590

Unknown Individual is a healthcare provider. based in Brookfield, Wisconsin. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 1296 (WI). The NPI Number for Unknown Individual is 1235150590

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1235150590
Phone
(262) 641-9050
Address
285 N JANACEK RD
Deactivation Date
21 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
4143834455
Graduation Year
1985 (41 years ago)
PAC ID
6002826443
Group Practice PAC ID
1850301672
Professional Enrollment ID
I20070518000425
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 285, North Janacek Road, The Corners of Brookfield, Town of Brookfield, Waukesha County, Wisconsin, 53045, United States

    BROOKFIELD, WI 530456102

    Phone: (262) 641-9050

    Fax: (262) 641-9126

    Type: Mailing

  • 5678, West Brown Deer Road, Brown Deer, Milwaukee County, Wisconsin, 53223, United States

    MILWAUKEE, WI 532232365

    Phone: (414) 362-8147

    Fax: (414) 362-7198

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53045)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850301672View full group profile
NameSpecialtyState
Clinical Social WorkerWI
-WI
Clinical Social WorkerWI
Clinical Social WorkerWI
General PracticeWI
-WI
Nurse PractitionerWI
Mental Health CounselorWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1235150590 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Brookfield?
Public fields place Unknown Individual around Brookfield, Wisconsin. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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