Individual provider Active NPI

Dena Willmann, LPC

  • Professional Counselor
  • Queen Creek, AZ
National Provider Identifier
1336654110
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5750-125 Issued in WI
Practice address
19149 E Peartree LN
Queen Creek, AZ 85142-2430
Phone
(414) 380-9406
NPI assigned
Dec 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X AZ
Professional Counselor 101YP2500X 5750-125 WI Primary

Addresses

Primary practice location

19149 E Peartree LN
Queen Creek, AZ 85142-2430

Mailing address

19149 E Peartree LN
Queen Creek, AZ 85142-2430

Other names 1

  • Dena Brugger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240228002659 WI Practitioner - Mental Health Counselor 5890130975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

W175N11056 Stonewood Dr
Germantown, WI 53022-4799
Phone (262) 345-5562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5750-125WIMDProfessional Counselor
5750WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Lutheran Child & Family Service, Inc CurrentSince Jan 1, 2024 Accepting new patients
Wisconsin Lutheran Child and Family Service Inc Professional CurrentSince Jan 1, 2024 Accepting new patients
Wisconsin Lutheran Child & Family Service, Inc PastSince Aug 25, 2019 Accepting new patients
Wisconsin Lutheran Child & Family Services, Inc Professional PastSince Sep 25, 2019 Accepting new patients
Wisconsin Lutheran Child & Family Service ,Inc. PastSince Aug 25, 2019 Accepting new patients

Locations

3841 W Sweetwater Ave
Phoenix, AZ 85029

6036 S 27th Ave
Phoenix, AZ 85041

16535 W Bluemound Rd
Ste 305
Brookfield, WI 53005
Phone (800) 438-1770

W175N11120 Stonewood Dr
Germantown, WI 53022
Phone (262) 345-5533

9555 S Howell Ave
Oak Creek, WI 53154
Phone (262) 345-5560

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1512259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1336654110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19149 E PEARTREE LN",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851422430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19149 E PEARTREE LN",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851422430",
            "telephone_number": "414-380-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLMANN",
        "first_name": "DENA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-03",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5750-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENA",
            "last_name": "BRUGGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.