Individual provider Active NPI

Julia A Rodin, LMFT

  • Marriage & Family Therapist
  • Muskego, WI
National Provider Identifier
1174780373
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
860-124 Issued in WI
Practice address
W180S7888 Pioneer Dr
Muskego, WI 53150-9460
Phone
(262) 420-8539
NPI assigned
May 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1638 MN
Marriage & Family Therapist 106H00000X 860-124 WI Primary
Marriage & Family Therapist 106H00000X 166001715 IL
Marriage & Family Therapist 106H00000X 122372 IA

Addresses

Primary practice location

W180S7888 Pioneer Dr
Muskego, WI 53150-9460

Mailing address

W180S7888 Pioneer Dr
Muskego, WI 53150-9460
Phone (262) 420-8539

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
I20260325000409 WI Practitioner - Mental Health Counselor 8022592328 Practice locations: Muskego, WI

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

W180S7888 Pioneer Dr
Muskego, WI 53150

W180S7888 Pioneer Dr
Muskego, WI 53150-9460
Phone (262) 420-8539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
122372IAMDMarriage & Family Therapist
166001715ILMDMarriage & Family Therapist
1638MNMDMarriage & Family Therapist
860-124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Drug & Alcohol Services Inc Past Accepting new patients
Shine Medical Providers PC Past Accepting new patients
Community Drug & Alcohol Services Inc Past Accepting new patients

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": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1174780373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W180S7888 PIONEER DR",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531509460",
            "telephone_number": "262-420-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W180S7888 PIONEER DR",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531509460",
            "telephone_number": "262-420-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODIN",
        "first_name": "JULIA",
        "middle_name": "A",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2025-07-03",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1638",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "860-124",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166001715",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "122372",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskego, WI

Sources for this page

Verify at the official NPI Registry.