Individual provider Active NPI

Michelle M Elert, LPC

  • Counselor
  • Milwaukee, WI
National Provider Identifier
1194293290
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
8131-125 Issued in WI
Practice address
10425 W North Ave Ste 311
Milwaukee, WI 53226-2400
Phone
(414) 502-9680
Fax
(414) 662-5196
NPI assigned
Nov 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4213-226 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X 18682-130 WI
Counselor 101Y00000X 8131-125 WI Primary

Addresses

Primary practice location

10425 W North Ave Ste 311
Milwaukee, WI 53226-2400

Mailing address

10425 W North Ave Ste 311
Milwaukee, WI 53226-2400
Phone (414) 502-9680

Other identifiers 1

IdentifierTypeStateIssuer
100083296MedicaidWI

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
I20241210000025 WI Practitioner - Mental Health Counselor 9931635364 Practice locations: Milwaukee, WI

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Wisconsin School of Medicine, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5211 W N Ave
Milwaukee, WI 53208-1140
Phone (414) 502-9680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4213-226WIMDCounselor
18682-130WIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
West Grove Clinic, SC PastSince Oct 30, 2024 Accepting new patients

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": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1194293290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 W NORTH AVE STE 311",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532262400",
            "telephone_number": "414-502-9680",
            "fax_number": "414-662-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 W NORTH AVE STE 311",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532262400",
            "telephone_number": "414-502-9680",
            "fax_number": "414-662-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELERT",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "4213-226",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "18682-130",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "8131-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100083296",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.