Individual provider Active NPI

Melinda Grulke, MS

  • Mental Health Counselor
  • Wauwatosa, WI
National Provider Identifier
1114398187
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3015 N 114TH St
Wauwatosa, WI 53222-4208
Phone
(414) 431-4444
NPI assigned
Oct 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3015 N 114TH St
Wauwatosa, WI 53222-4208

Mailing address

2761 N 69TH St
Milwaukee, WI 53210-1212

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
I20240610002941 WI Practitioner - Mental Health Counselor 5799227401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marriage and Family Focus LLCGroup PAC ID 9234571829, 6 clinicians

Practice addresses (Care Compare)

307 S Paterson St
Suite 120
Madison, WI 53703-3517
Phone (608) 501-1629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Marriage and Family Focus LLC CurrentSince Apr 29, 2024 Accepting new patients

Locations

307 S Paterson St
Ste 120
Madison, WI 53703
Phone (608) 501-1629

1001 W Glen Oaks Ln
Ste 105
Mequon, WI 53092
Phone (414) 258-8314

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1114398187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2761 N 69TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 N 114TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224208",
            "telephone_number": "414-431-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRULKE",
        "first_name": "MELINDA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.