Individual provider Active NPI

Christine Marie Mitchel, MA, LPC

  • Professional Counselor
  • Waukesha, WI
National Provider Identifier
1184338832
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10199-125 Issued in WI
Practice address
20700 Watertown Rd Ste 102
Waukesha, WI 53186-1800
Phone
(262) 782-1474
Fax
(262) 782-1441
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10199-125 WI
Professional Counselor 101YP2500X 10199-125 WI Primary

Addresses

Primary practice location

20700 Watertown Rd Ste 102
Waukesha, WI 53186-1800

Mailing address

W263N2080 E Fieldhack Dr Unit 208
Pewaukee, WI 53072-5403
Phone (262) 305-8835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 16, 2025 through Sep 16, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
10199-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Resources, Inc. Professional CurrentSince Jan 15, 2023 Accepting new patients

Locations

20700 Watertown Rd
Ste 102
Waukesha, WI 53186
Phone (262) 782-1474

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": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1184338832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W263N2080 E FIELDHACK DR UNIT 208",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725403",
            "telephone_number": "262-305-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20700 WATERTOWN RD STE 102",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861800",
            "telephone_number": "262-782-1474",
            "fax_number": "262-782-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHEL",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "10199-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10199-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.