Active NPI
Megan Mendoza, MSCP, LPC
- Mental Health Counselor
- Milwaukee, WI
National Provider Identifier
1295257251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3578-226
- Practice address
- 1121 W Oklahoma Ave
Milwaukee, WI 53215-4617 - Phone
- (262) 641-9790
- NPI assigned
- Jul 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3578-226 | WI | Primary |
Addresses
Primary practice location
1121 W Oklahoma Ave
Milwaukee, WI 53215-4617
Mailing address
120 Cambridge Ave Apt 402
Waukesha, WI 53188-4778
Phone (414) 502-6231
Other practice location 1
2314 N Grandview Blvd Ste 207
Waukesha, WI 53188-1675
Phone (262) 975-0012
Other practice location 2
W156N8327 Pilgrim Rd
Menomonee Falls, WI 53051-3776
Phone (262) 251-1112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100069206 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 11, 2024 through Nov 11, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3578-226 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Counseling Services, LLC | Past | Accepting new patients | |
| Pathways Counseling Center II LLC | Past | Accepting new patients | |
| Allergic Diseases SC | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Menomonee Falls, WI
- NPI 1598562381
-
- Allergy & Immunology Physician
- West Allis, WI
- NPI 1609898287
-
dba Pathways Counseling Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Allis, WI
- NPI 1942490438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1295257251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 CAMBRIDGE AVE APT 402",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531884778",
"telephone_number": "414-502-6231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 W OKLAHOMA AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532154617",
"telephone_number": "262-641-9790"
}
],
"practiceLocations": [
{
"address_1": "2314 N Grandview Blvd Ste 207",
"address_purpose": "LOCATION",
"city": "Waukesha",
"state": "WI",
"postal_code": "531881675",
"country_code": "US",
"telephone_number": "262-975-0012",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "W156N8327 Pilgrim Rd",
"address_purpose": "LOCATION",
"city": "Menomonee Falls",
"state": "WI",
"postal_code": "530513776",
"country_code": "US",
"telephone_number": "262-251-1112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDOZA",
"first_name": "MEGAN",
"credential": "MSCP, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-12",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "3578-226",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100069206",
"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 May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.