Individual provider Active NPI

Emily Dammen, LPC

  • Professional Counselor
  • Brookfield, WI
National Provider Identifier
1053000141
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11790-125 Issued in WI
Practice address
3505 N 124TH St
Brookfield, WI 53005-2489
Phone
(414) 431-4444
NPI assigned
May 4, 2023
Last updated
May 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 11790-125 WI Primary

Addresses

Primary practice location

3505 N 124TH St
Brookfield, WI 53005-2489

Mailing address

3505 N 124TH St
Brookfield, WI 53005-2489
Phone (414) 431-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260410002791 WI Practitioner - Other (Non-Physician) 4284109851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3505 N 124TH St
Brookfield, WI 53005-2489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11790-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Options Counseling, LLC Mental Health CurrentSince May 7, 2023 Accepting new patients
Family Options Counseling Mental Health CurrentSince May 7, 2023 Accepting new patients

Locations

3505 N 124th St
Brookfield, WI 53005
Phone (414) 431-4444

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1053000141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 N 124TH ST",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052489",
            "telephone_number": "414-431-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 N 124TH ST",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052489",
            "telephone_number": "414-431-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMMEN",
        "first_name": "EMILY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "11790-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.