Whitestar Wellness SC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WHITESTAR WELLNESS SC

Practice address

15285 Watertown Plank Road
Suite 102
Brookfield, WI 53005

Phone

(414) 552-8242

NPI assigned

Jun 13, 2022

Last updated

May 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ariel Namowicz KlossNPI 1164068565

Title

Owner

Phone

(414) 552-8242

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ariel Namowicz Kloss, LCSW

  • Clinical Social Worker
  • Elm Grove, WI
  • NPI 1164068565
  Medicare reassignment NPD Authorized official
• Brei Lynn Hileman, MSW, APSW

  • Counselor
  • Milwaukee, WI
  • NPI 1265199566
  Medicare reassignment NPD
• Melinda Banfield, LCSW

  • Clinical Social Worker
  • Elm Grove, WI
  • NPI 1477364776
  NPD
• Xee Moua, APSW

  • Social Worker
  • Elm Grove, WI
  • NPI 1649966508
  NPD
• Jacob Schmieg

  • Clinical Social Worker
  • Elm Grove, WI
  • NPI 1689459950
  NPD

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1205566353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 PILGRIM RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530051556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15285 WATERTOWN PLANK ROAD",
            "address_2": "SUITE 102",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "53005",
            "telephone_number": "414-552-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITESTAR WELLNESS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2025-05-05",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "KLOSS",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_middle_name": "NAMOWICZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-552-8242"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Wheeldon
• Alexis White
• Coral Ann White, DPT
• Cynthia C White, APNP, PMHNP
• James E White, MD
• Kristin Joy Whitfield, MA, CCC-SLP
• Carolyn Whittow, DMD
• Whole Hearted Wellness, LLC
• Laila Whorton
• Wi Dental SC (Aspen Dental)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.