Michelle Lynn Dvorak, MS, LAMFT, CSAC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

761-228 Issued in WI

Practice address

429 W Broadway Ave
Medford, WI 54451-1608

Phone

(715) 748-4312

NPI assigned

May 29, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Revive & Thrive Counseling Associates

  • Marriage & Family Therapist
  • Medford, WI
  • NPI 1649107764

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1275191900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 W BROADWAY AVE",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511608",
            "telephone_number": "715-748-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 W BROADWAY AVE",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511608",
            "telephone_number": "715-748-4312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Progressive Avenue",
            "address_2": "M122",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "WI",
            "postal_code": "544511608",
            "country_code": "US",
            "telephone_number": "715-574-7419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DVORAK",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "MS, LAMFT, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "761-228",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17043-132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Todd Dietzman, LAT
• Rachel Dixon, PA-C
• Joshua W Doyle, DDS
• Stephen E Dreier, DC
• Alexandra Duvall, LCSW, SAC-IT
• Ngozi J Ekwueme, MD
• Doreen K Eldred, LCSW
• Sara A Emmerich, RN
• Haley Erl, DNP
• Michelle K Evans, D.C.

• Marriage & Family Therapist in Medford, WI
• Providers in Medford, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.