Individual provider Active NPI

Stephanie A. Zettel, LPC

  • Professional Counselor
  • Milwaukee, WI
National Provider Identifier
1104473651
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8562-125 Issued in WI
Practice address
111 E Wisconsin Ave Ste 1500
Milwaukee, WI 53202-4808
Phone
(414) 239-9731
Fax
(414) 677-7198
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8562 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X 19659-130 WI
Professional Counselor 101YP2500X 8562-125 WI Primary

Addresses

Primary practice location

111 E Wisconsin Ave Ste 1500
Milwaukee, WI 53202-4808

Mailing address

111 E Wisconsin Ave Ste 1500
Milwaukee, WI 53202-4808
Phone (414) 239-9731

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
I20251110001567 WI Practitioner - Mental Health Counselor 4284124066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waukesha CountyGroup PAC ID 3971405481, 29 clinicians

Practice addresses (Care Compare)

514 Riverview Ave
Waukesha, WI 53188-3631
Phone (262) 548-8431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19659-130WIMDAddiction (Substance Use Disorder) Counselor
8562-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Waukesha County CurrentSince Oct 29, 2025 Accepting new patients
Waukesha County Current Accepting new patients
Waukesha County CurrentSince Oct 29, 2025 Accepting new patients

Locations

514 Riverview Ave
Waukesha, WI 53188
Phone (262) 548-7212

1501 Airport Rd
Waukesha, WI 53188
Phone (262) 548-7950

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1104473651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E WISCONSIN AVE STE 1500",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024808",
            "telephone_number": "414-239-9731",
            "fax_number": "414-677-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E WISCONSIN AVE STE 1500",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024808",
            "telephone_number": "414-239-9731",
            "fax_number": "414-677-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZETTEL",
        "first_name": "STEPHANIE",
        "middle_name": "A.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8562",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "19659-130",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8562-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.