Neurowave Therapy Group LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

NEUROWAVE THERAPY GROUP LLC

Practice address

5910 39TH Ave
Kenosha, WI 53144-2738

Phone

(262) 833-5999

Fax

(262) 357-8431

NPI assigned

Aug 30, 2024

Organization subpart

No

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

Authorized official

Name

Miriam E Corona, LPC, CSACNPI 1649745340

Title

Owner

Phone

(262) 447-8999

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Miriam E Corona, LPC, CSAC

  • Professional Counselor
  • Kenosha, WI
  • NPI 1649745340
  Medicare reassignment NPD Authorized official
• Jennifer Banks Adams, LPC-IT

  • Mental Health Counselor
  • Kenosha, WI
  • NPI 1285503631
  NPD
• Michaela Leigh Medrano

  • Professional Counselor
  • Kenosha, WI
  • NPI 1245159508
  NPD (past)
• Tran Nguyen

  • Mental Health Counselor
  • Mount Pleasant, WI
  • NPI 1346173622
  NPD (past)
• Keeley Simonet, LPC-IT

  • Mental Health Counselor
  • Kenosha, WI
  • NPI 1396661591
  NPD (past)

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1205660206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 90TH ST",
            "city": "STURTEVANT",
            "state": "WI",
            "postal_code": "531771806",
            "telephone_number": "262-833-5999",
            "fax_number": "262-357-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 39TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531442738",
            "telephone_number": "262-833-5999",
            "fax_number": "262-357-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROWAVE THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "CORONA",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-447-8999",
        "authorized_official_credential": "LPC, CSAC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649745340",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Nelson, P.T.
• Neu & Hill Physical Therapy, SC
• Mark J Neu, PT
• Neurology Center of Kenosha, S.C.
• Neuropsychological Consultants Inc
• New Day Psychiatric Care, LLC
• Lisa Neyens, PHARMD
• Rebecca NG, MD, MPH
• Ngy LLC
• Jacqueline Patricia Niccolai, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.