Individual provider Active NPI

Lauren Miller

  • Mental Health Counselor
  • Milwaukee, WI
National Provider Identifier
1205343050
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3785-226 Issued in WI
Practice address
9000 W Wisconsin Ave Ste 240
Milwaukee, WI 53226-4874
Phone
(414) 337-3400
Fax
(414) 337-3409
NPI assigned
Jan 2, 2018
Last updated
Jul 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3785-226 WI Primary

Addresses

Primary practice location

9000 W Wisconsin Ave Ste 240
Milwaukee, WI 53226-4874

Mailing address

9000 W Wisconsin Ave Ste 240
Milwaukee, WI 53226-4874
Phone (414) 337-3400

Other identifiers 1

IdentifierTypeStateIssuer
1205343050MedicaidWI

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
I20240729003193 WI Practitioner - Mental Health Counselor 4880130665 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3785-226WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Waukesha County CurrentSince Jul 16, 2024 Accepting new patients
Waukesha County CurrentSince Jul 16, 2024 Accepting new patients
Waukesha County Current Accepting new patients
Waukesha County Past Accepting new patients
Children's Medical Group PastSince Feb 1, 2022 Accepting new patients
Waukesha County Past Accepting new patients
Children's Medical Group PastSince Feb 1, 2022 Accepting new patients
Children's Medical Group, Inc Mental Health PastSince Jul 10, 2022 Accepting new patients
Engaging Therapies PastSince Jun 23, 2025 Accepting new patients
Children's Medical Group, Inc Mental Health PastSince Sep 1, 2022 Accepting new patients

Locations

1501 Airport Rd
Waukesha, WI 53188
Phone (262) 548-7950

514 Riverview Ave
Waukesha, WI 53188
Phone (262) 548-7212

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1205343050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE STE 240",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "telephone_number": "414-337-3400",
            "fax_number": "414-337-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE STE 240",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "telephone_number": "414-337-3400",
            "fax_number": "414-337-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-02",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3785-226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205343050",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.