GLEN HAVEN COUNSELING CLINIC
NPI 1285844480
Community/Behavioral Health in Glendale, WI

Q: What is Glen Haven Counseling Clinic's NPI number?

The NPI number for Glen Haven Counseling Clinic is 1285844480. It was assigned to this organization in the NPPES registry on May 23, 2007.

Q: What is Glen Haven Counseling Clinic's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since May 23, 2007

6270 N PORT WASHINGTON RD, SUITE 201, GLENDALE, WI 53217(414) 962-2284 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Glen Haven Counseling Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLEN HAVEN COUNSELING CLINIC (NPI 1285844480) is a healthcare organization registered as a community/behavioral health in Glendale, Wisconsin and active in the NPI registry since May 2007. The organization lists Jerrold Bernard Rousseau, Owner, as its authorized official.

NPPES Registry Identity

NPI1285844480

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameGLEN HAVEN COUNSELING CLINIC

Location Address6270 N PORT WASHINGTON RD, SUITE 201Glendale, WI 53217-4311

Mailing Address6270 N Port Washington Rd, Suite 201Glendale, WI 53217-4311 · (414) 962-2284

Phone(414) 962-2284

Organization SubpartNo

Authorized OfficialJerrold Bernard RousseauOwner · (414) 962-2284

Enumeration DateMay 23, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1285844480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in WI · 1384

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.

6270 N PORT WASHINGTON RD, Glendale, WI 53217

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JERROLD BERNARD ROUSSEAU MSSW, LCSW

Social Worker (Clinical)

6270 N PORT WASHINGTON RD, SUITE 201
GLENDALE, WI 53217

Milwaukee County (414) 962-2284

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Haven Counseling Clinic's NPI number?

The NPI number for Glen Haven Counseling Clinic is 1285844480. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Glen Haven Counseling Clinic located?

Glen Haven Counseling Clinic is located at 6270 N Port Washington Rd Suite 201, Glendale, WI 53217. The listed phone number is (414) 962-2284.

What is Glen Haven Counseling Clinic's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Glen Haven Counseling Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.