Basic Information
Provider Information
NPI: 1285133421
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHLUTER
FirstName: BROOKE
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: LPC, SAC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: JUNEAU COUNTY DEPT OF HUMAN SERVICES
Address2: 200 HICKORY ST
City: MAUSTON
State: WI
PostalCode: 53948
CountryCode: US
TelephoneNumber: 6088472400
FaxNumber: 6088479421
Practice Location
Address1: JUNEAU COUNTY DEPT OF HUMAN SERVICES
Address2: 200 HICKORY ST
City: MAUSTON
State: WI
PostalCode: 53948
CountryCode: US
TelephoneNumber: 6088472400
FaxNumber: 6088479421
Other Information
ProviderEnumerationDate: 02/02/2018
LastUpdateDate: 05/12/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/12/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YA0400X16410-131WIN Behavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
101YP2500X7701-125WIY Behavioral Health & Social Service ProvidersCounselorProfessional

ID Information
IDTypeStateIssuerDescription
128513342105WI MEDICAID


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