Individual provider Active NPI

David G Zill, LPC

  • Professional Counselor
  • Milwaukee, WI
National Provider Identifier
1255703856
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2759 - 226 Issued in WI
Practice address
1225 W Mitchell St Ste 205
Milwaukee, WI 53204-3383
Phone
(414) 383-4455
NPI assigned
Oct 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2759 - 226 WI
Professional Counselor 101YP2500X 2759 - 226 WI Primary

Addresses

Primary practice location

1225 W Mitchell St Ste 205
Milwaukee, WI 53204-3383

Mailing address

1225 W Mitchell St Ste 205
Milwaukee, WI 53204-3383
Phone (414) 383-4455

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
I20240418003132 WI Practitioner - Mental Health Counselor 4486093721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vivent Health IncGroup PAC ID 1052308376, 54 clinicians

Practice addresses (Care Compare)

1311 N 6TH St
Milwaukee, WI 53212-4006
Phone (414) 223-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2759 - 226WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vivent Health Inc Current Accepting new patients
Vivent Health Inc Mental Health CurrentSince Mar 5, 2024 Accepting new patients
Medical Psychology Associates, Inc. Past Accepting new patients

Locations

1212 57th St
Kenosha, WI 53140
Phone (414) 225-1568

648 N Plankinton Ave
Ste 200
Milwaukee, WI 53203

1311 N 6th St
Milwaukee, WI 53212
Phone (414) 223-6800

Organizations & group practices 3

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": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1255703856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 W MITCHELL ST STE 205",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043383",
            "telephone_number": "414-383-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W MITCHELL ST STE 205",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043383",
            "telephone_number": "414-383-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZILL",
        "first_name": "DAVID",
        "middle_name": "G",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "2759 - 226",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "2759 - 226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.