1. Home
  2. Directory
  3. Wisconsin
  4. Milwaukee
  5. Clinic Center
  6. NPI Profile

4TH DIMENSION RECOVERY CENTERS
NPI 1538634829
Clinic/Center - Rehabilitation, Substance Use Disorder in Milwaukee, WI

Active since October 12, 2018CLIA 52D2156861 · Waiver
1216 N PROSPECT AVE, MILWAUKEE, WI 53202(973) 277-5359(928) 441-1686 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 10, 2024, Oct 12, 2018 (2 updates tracked since 2018).

About 4th Dimension Recovery Centers NPPES

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

4TH DIMENSION RECOVERY CENTERS (NPI 1538634829) is a healthcare organization registered as a rehabilitation, substance use disorder in Milwaukee, Wisconsin and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through October 24, 2026, maintains a secondary practice location in Milwaukee, and lists Jason Lee Luell, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1538634829
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business Name4TH DIMENSION RECOVERY CENTERS
Location Address1216 N PROSPECT AVEMilwaukee, WI 53202-3061
Mailing Address1216 N Prospect AveMilwaukee, WI 53202-3061 · (973) 277-5359
Phone(973) 277-5359
Fax(928) 441-1686
Organization SubpartNo
Authorized OfficialJason Lee LuellChief Operations Officer · (414) 406-7852
Enumeration DateOctober 12, 2018
Last NPPES UpdateOctober 10, 20242 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
✔ NPI 1538634829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
1216 N PROSPECT AVE, Milwaukee, WI 53202
Open in Google Maps ↗

Secondary Practice Location 1

Location 11216 N Prospect AveMilwaukee, WI 53202-3061 · Phone (973) 277-5359

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2156861

4th Dimension Recovery Center's · Milwaukee, WI
Active · expires Oct 24, 2026
CLIA Number52D2156861
Laboratory TypeOutpatient Treatment
Certificate Effective DateOctober 25, 2024
Certificate Expiration DateOctober 24, 2026
Laboratory DirectorDr. Richard Schaefer
Laboratory Phone(928) 499-5687
Laboratory Location4th Dimension Recovery Center's1216 N Prospect Ave, Milwaukee, WI 53202
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

THE KELLEY CLINIC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1216 N PROSPECT AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 271-9272
DR. SHANNON RAE KELLEY-POULOS PSYD
Counselor (Mental Health)
1216 N PROSPECT AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 271-9791
MRS. PAMELA HOWARD BLASZAK LPC, CSAC
Counselor (Addiction (Substance Use Disorder))
1216 N PROSPECT AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 210-4841
MS. JANE ANN KELLEY LCSW
Social Worker (Clinical)
1216 N PROSPECT AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 271-9272
DR. SHAYLA KELLEY LA LONDE PSY. D.
Counselor (Mental Health)
1216 N PROSPECT AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 271-9272
KELLEY CLINIC LLC
Social Worker (Clinical)
1216 N PROSPECT AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 536-8604

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 4th Dimension Recovery Centers's NPI number?

The NPI number for 4th Dimension Recovery Centers is 1538634829. It was assigned to this organization in the NPPES registry on October 12, 2018.

Where is 4th Dimension Recovery Centers located?

4th Dimension Recovery Centers is located at 1216 N Prospect Ave, Milwaukee, WI 53202. The listed phone number is (973) 277-5359.

What is 4th Dimension Recovery Centers's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does 4th Dimension Recovery Centers hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2156861) is associated with this NPI, valid through October 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 4th Dimension Recovery Centers was last updated on October 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.