Individual provider Active NPI

Corrin Sotala, LPC

  • Professional Counselor
  • Brookfield, WI
National Provider Identifier
1235828534
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11246-125 Issued in WI
Practice address
1930 Melody LN
Brookfield, WI 53005-5141
Phone
(262) 804-7066
NPI assigned
May 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 11246-125 WI Primary

Addresses

Primary practice location

1930 Melody LN
Brookfield, WI 53005-5141

Mailing address

1930 Melody LN
Brookfield, WI 53005-5141
Phone (262) 264-8877

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
I20251028001823 WI Practitioner - Mental Health Counselor 3274022587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1001 W Glen Oaks LN
Suite 105
Mequon, WI 53092-3369

910 Elm Grove Rd
Suite 8
Elm Grove, WI 53122-2531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11246-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Day Wellness, LLC Professional CurrentSince Sep 1, 2025 Accepting new patients

Locations

910 Elm Grove Rd
Ste 8
Elm Grove, WI 53122
Phone (262) 264-8877

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": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1235828534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 MELODY LN",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055141",
            "telephone_number": "262-264-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 MELODY LN",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055141",
            "telephone_number": "262-804-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTALA",
        "first_name": "CORRIN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "11246-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.