Individual provider Active NPI

Mary Elizabeth Maccudden

  • Professional Counselor
  • Milwaukee, WI
National Provider Identifier
1063320166
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8684226 Issued in WI
Practice address
1219 N Cass St
Milwaukee, WI 53202-2770
Phone
(414) 291-9487
NPI assigned
Aug 31, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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 8684226 WI Primary

Addresses

Primary practice location

1219 N Cass St
Milwaukee, WI 53202-2770

Mailing address

7425 Milwaukee Ave
Wauwatosa, WI 53213-2203
Phone (414) 315-2719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1063320166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 MILWAUKEE AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132203",
            "telephone_number": "414-315-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 N CASS ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022770",
            "telephone_number": "414-291-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCUDDEN",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8684226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.