Anna Maria Godiali, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7707-125 Issued in WI

Practice address

Hillcrest Counseling LLC
15110 Bending Brae Court
Brookfield, WI 53005-2681

Phone

(262) 244-9350

Fax

(989) 893-3528

NPI assigned

Oct 26, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Advantage Counseling Other name

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

Specialty

Mental Health Counselor

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pathways Counseling Center II LLCGroup PAC ID 7315970969, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Pathways Counseling Center II LLC

  dba Pathways Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Allis, WI
  • NPI 1942490438
  Medicare reassignment Care Compare group NPD
• Allergic Diseases SC

  • Allergy & Immunology Physician
  • West Allis, WI
  • NPI 1609898287
  NPD (past)

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1205136090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HILLCREST COUNSELING LLC",
            "address_2": "15110 BENDING BRAE COURT",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052681",
            "telephone_number": "262-244-9350",
            "fax_number": "989-893-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HILLCREST COUNSELING LLC",
            "address_2": "15110 BENDING BRAE COURT",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052681",
            "telephone_number": "262-244-9350",
            "fax_number": "989-893-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODIALI",
        "first_name": "ANNA",
        "middle_name": "MARIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401008740",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7707-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADVANTAGE",
            "last_name": "COUNSELING",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Professional Counselor in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.