COLLEEN MARY PRIVIDERA LMFT-IT, APSW
NPI 1417466681
Marriage & Family Therapist in Milwaukee, WI

Q: What is Colleen Prividera's NPI number?

The NPI number for Colleen Prividera is 1417466681. It was assigned to this individual provider in the NPPES registry on September 20, 2017.

Q: What is Colleen Prividera's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Colleen Prividera was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 20, 2017

1020 N 12TH ST, MILWAUKEE, WI 53233(414) 773-4312 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2021, Nov 15, 2017, Sep 20, 2017 (3 updates tracked since 2017).

On this page

About Colleen Mary Prividera Lmft-it, Apsw NPPES

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

COLLEEN MARY PRIVIDERA LMFT-IT, APSW (NPI 1417466681) is an individual marriage & family therapist in Milwaukee, Wisconsin, licensed in Wisconsin (599-228) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1417466681

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameCOLLEEN MARY PRIVIDERACredential: LMFT-IT, APSW

Location Address1020 N 12TH STMilwaukee, WI 53233-1308

Mailing Address1020 N 12th StMilwaukee, WI 53233-1308 · (414) 773-4312

Phone(414) 773-4312

Sole ProprietorNo

Enumeration DateSeptember 20, 2017

Last NPPES UpdateSeptember 23, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2021

✔ NPI 1417466681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in WI · 599-228

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1020 N 12TH ST, Milwaukee, WI 53233

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

SORYAL A SORYAL M.D

Internal Medicine (Geriatric Medicine)

1020 N 12TH ST, 3RD FLOOR
MILWAUKEE, WI 53233

Milwaukee County (414) 219-7300

LAUREL R MAREK APNP

Nurse Practitioner