Mattison Blanck

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

9401 W Beloit Rd Ste 201
Milwaukee, WI 53227-4357

Phone

(414) 380-3001

Fax

(414) 775-2734

NPI assigned

Jan 23, 2025

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Lifting Individuals Forward Everyday LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukee, WI
  • NPI 1689343097
  NPD

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1114739398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 N 9TH ST APT 327",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331437",
            "telephone_number": "224-430-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 W BELOIT RD STE 201",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532274357",
            "telephone_number": "414-380-3001",
            "fax_number": "414-775-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCK",
        "first_name": "MATTISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda A Blake, APSW
• Sharita Blakemore
• Olyver Jarrett Blakeway, LCSW
• Alicia Nicole Blakley, DDS
• Cecilia Carmen Blancas, LCSW
• Lela Bland, APNP
• Ellen L Blank, MD
• Jacqueline Blank, MD
• Robert D Blank, MD PHD
• Robert M Blankenbehler, O.D

• Mental Health Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.