Active NPI
Allison Chmiel, LPC
- Mental Health Counselor
- Mequon, WI
National Provider Identifier
1073283040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8303-125
- Practice address
- 11431 N Port Washington Rd # 260
Mequon, WI 53092-3462 - Phone
- (414) 909-3661
- NPI assigned
- Sep 20, 2021
- Last updated
- Sep 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8303-125 | WI | Primary |
Addresses
Primary practice location
11431 N Port Washington Rd # 260
Mequon, WI 53092-3462
Mailing address
2100 N Mayfair Rd Unit 408
Wauwatosa, WI 53226-2232
Other practice location 1
7300 S 13th St Ste 202
Oak Creek, WI 53154-1832
Phone (262) 975-0012 ext. 717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8303-125 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Counseling, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- Mequon, WI
- NPI 1083187058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1073283040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 N MAYFAIR RD UNIT 408",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532262232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11431 N PORT WASHINGTON RD # 260",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923462",
"telephone_number": "414-909-3661"
}
],
"practiceLocations": [
{
"address_1": "7300 S 13th St Ste 202",
"address_purpose": "LOCATION",
"city": "Oak Creek",
"state": "WI",
"postal_code": "531541832",
"country_code": "US",
"telephone_number": "262-975-0012 x717",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHMIEL",
"first_name": "ALLISON",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-20",
"last_updated": "2021-09-20",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "8303-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mequon, WI
- Prakash Bhajandas Chhabria, M.D.
- Children's Health System (Children's Urgent Care - Mequon)
- Children's Medical Group (North Shore Pediatrics)
- Chiropractic Company - Brown Deer LTD (Chiropractic Company)
- Jessica Ellen Chitel, PT
- Kennedy Grace Chow, PA
- Eva Christensen, M.D., PH.D.
- Shron Marie Christman-Powell, HCP
- Audrey Lynette Chu, DDS
- Raven Elizabeth Ciezki
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.