Individual provider Active NPI

Megan Mendoza, MSCP, LPC

  • Mental Health Counselor
  • Milwaukee, WI
National Provider Identifier
1295257251
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3578-226 Issued in WI
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

Updated by the provider on May 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100069206MedicaidWI

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

LicenseStateTypeSpecialty
3578-226WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Counseling Services, LLC PastSince Mar 11, 2025 Accepting new patients
Pathways Counseling Center II LLC PastSince Mar 8, 1998 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.

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

Verify at the official NPI Registry.