NPIMap

Organization Active NPI

Forward Choices, LLC

  • Mental Health Counselor
  • Milwaukee, WI
National Provider Identifier
1275791485
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3935-125 Issued in WI
Legal business name
FORWARD CHOICES, LLC
Practice address
6040 W Lisbon Ave Ste 103
Milwaukee, WI 53210-2116
Phone
(414) 442-1751
Fax
(414) 442-1775
NPI assigned
May 26, 2008
Last updated
Oct 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Authorized official

Name
Mr. Michael Leo Wallner, MS, LPC, NCCNPI 1861521403
Title
Owner
Phone
(414) 442-1751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3935-125 WI Primary

Addresses

Primary practice location

6040 W Lisbon Ave Ste 103
Milwaukee, WI 53210-2116

Mailing address

140 N Hine Ave
Waukesha, WI 53188-4316
Phone (414) 442-1751

Other identifiers 1

IdentifierTypeStateIssuer
2785MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110211000851 WI Part B Supplier - Clinic/Group Practice 6204016959 Receives reassigned benefits from 1 practitioner
Practice locations: Milwaukee, WI

National Provider Directory

National Provider Directory

Locations

6040 W Lisbon Ave
Ste 103
Milwaukee, WI 53210
Phone (414) 442-1751

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1211760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1275791485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N HINE AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531884316",
            "telephone_number": "414-442-1751",
            "fax_number": "414-442-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 W LISBON AVE STE 103",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102116",
            "telephone_number": "414-442-1751",
            "fax_number": "414-442-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD CHOICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-26",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "WALLNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-442-1751",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3935-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2785",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.