Active NPI
Vicki Lynn Milbrath, MSLPC
- Mental Health Counselor
- Watertown, WI
National Provider Identifier
1316955859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3012125
- Practice address
- 1315 W Main Street
Watertown, WI 53094 - Phone
- (920) 261-4100
- Fax
- (920) 261-8801
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 3012125 | WI | Primary |
Addresses
Primary practice location
1315 W Main Street
Watertown, WI 53094
Mailing address
PO Box 364
Watertown, WI 53094
Phone (920) 261-4100
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 268981 | Other | WI | MHN INSURANCE |
| 39184249611 | Other | WI | UNITY INSURANCE |
| 39184249612 | Other | WI | UNITY INSURANCE |
| 13096 | Other | WI | DEON HEALTH |
| 39184249613 | Other | JOHN DEERE HEALTH | |
| 40918900 | Medicaid | WI | |
| 6268382 | Other | UNITED BEHAVIORAL HEALTH | |
| 1041329 | Other | WI | PHYSICIANS PLUS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3012125 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Resources Associates Inc | Mental Health | Past | Accepting new patients |
| Family Resources Associates Inc | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Jefferson, WI
- NPI 1497960645
-
- Mental Health Counselor
- Watertown, WI
- NPI 1831202621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316955859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 364",
"city": "WATERTOWN",
"state": "WI",
"postal_code": "53094",
"telephone_number": "920-261-4100",
"fax_number": "920-261-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 W MAIN STREET",
"city": "WATERTOWN",
"state": "WI",
"postal_code": "53094",
"telephone_number": "920-261-4100",
"fax_number": "920-261-8801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILBRATH",
"first_name": "VICKI",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MSLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "3012125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN INSURANCE",
"identifier": "268981",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITY INSURANCE",
"identifier": "39184249611",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITY INSURANCE",
"identifier": "39184249612",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEON HEALTH",
"identifier": "13096",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTH",
"identifier": "39184249613",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40918900",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "6268382",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIANS PLUS",
"identifier": "1041329",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.