Mark T Machak, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10668125 Issued in WI

Practice address

10150 W National Ave Ste 202
West Allis, WI 53227-2145

Phone

(414) 617-5143

NPI assigned

Aug 9, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Metta Vista Mental Health LLC

  • Professional Counselor
  • West Allis, WI
  • NPI 1396553277
  Medicare reassignment NPD Authorized official
• Kettle Moraine Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Bend, WI
  • NPI 1568790954
  NPD (past)

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1063187383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 E KLIEFORTH AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531103123",
            "telephone_number": "414-617-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 W NATIONAL AVE STE 202",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272145",
            "telephone_number": "414-617-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHAK",
        "first_name": "MARK",
        "middle_name": "T",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10668125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Lyles, CRNA
• Cynthia Marie Lyon, RN
• M. Casey Chiro-Care LLC
• Lisa A Macali, DPT
• Toks E Macarthy, MD
• Daniel Joseph Madonia, LPC-IT
• Jacqueline Magennis, MS CCC-SLP
• Tiffany Lynn Maggioncalda, APNP
• Sofia Maglio
• Suzanne Mahalick, PHARMD

• Professional Counselor in West Allis, WI
• Providers in West Allis, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.