NPIMap

Organization Active NPI

Meadowbrook Counseling of Wisconsin, LLC

  • Clinical Social Worker
  • Glendale, WI
National Provider Identifier
1013796572
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MEADOWBROOK COUNSELING OF WISCONSIN, LLC
Practice address
7101 N Green Bay Ave Ste 11
Glendale, WI 53209-2800
Phone
(801) 655-5450
NPI assigned
Sep 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Whitney Hebbert, LMFTNPI 1508387739
Title
Owner
Phone
(801) 655-5450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

7101 N Green Bay Ave Ste 11
Glendale, WI 53209-2800

Mailing address

1469 N 1200 W
Orem, UT 84057-2449
Phone (801) 655-5450

Other practice location 1

307 N Cascade St Ste 103
Osceola, WI 54020-7502
Phone (801) 655-5450

Other names 1

  • Meadowbrook Counseling of Wisconsin Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250820000795 WI Part B Supplier - Clinic/Group Practice 1759880354 Receives reassigned benefits from 4 practitioners
Practice locations: Glendale, WI

National Provider Directory

National Provider Directory

Locations

7101 N Green Bay Ave
Ste 11
Glendale, WI 53209
Phone (414) 352-9600

307 N Cascade St
Ste 103
Osceola, WI 54020

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1013796572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 N 1200 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572449",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 N GREEN BAY AVE STE 11",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532092800",
            "telephone_number": "801-655-5450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 N Cascade St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Osceola",
            "state": "WI",
            "postal_code": "540207502",
            "country_code": "US",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEADOWBROOK COUNSELING OF WISCONSIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "HEBBERT",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-655-5450",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadowbrook Counseling of Wisconsin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.