Individual provider Active NPI

Timothy J Shininger, LCSW LMFT

  • Clinical Social Worker
  • Port Washington, WI
National Provider Identifier
1346294816
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4271-123 Issued in WI
Practice address
101 E Pier St Ste 2
Port Washington, WI 53074-1943
Phone
(262) 284-5789
Fax
(262) 284-5907
NPI assigned
May 20, 2006
Last updated
Jul 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4271-123 WI Primary

Addresses

Primary practice location

101 E Pier St Ste 2
Port Washington, WI 53074-1943

Mailing address

101 E Pier St Ste 2
Port Washington, WI 53074-1943
Phone (262) 284-5789

Other identifiers 1

IdentifierTypeStateIssuer
39730900MedicaidWI

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
I20240109003615 WI Practitioner - Marriage and Family Therapist 6406881333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Counseling ServicesGroup PAC ID 9234164153, 7 clinicians

Practice addresses (Care Compare)

101 E Pier St
Port Washington, WI 53074-1939
Phone (262) 284-5789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4271-123WIMDClinical Social Worker
406-124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Counseling Services CurrentSince Aug 1, 2005 Accepting new patients

Locations

427 W Jackson St
Port Washington, WI 53074

101 E Pier St
Prt Washingtn, WI 53074
Phone (262) 284-3117

101 E Pier St
Ste 2
Prt Washingtn, WI 53074
Phone (262) 284-5789

1317 W Grand Ave
Prt Washingtn, WI 53074
Phone (262) 268-6998

Organizations & group practices 1

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1346294816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E PIER ST STE 2",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741943",
            "telephone_number": "262-284-5789",
            "fax_number": "262-284-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E PIER ST STE 2",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741943",
            "telephone_number": "262-284-5789",
            "fax_number": "262-284-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHININGER",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "LCSW LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "4271-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39730900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, WI

Sources for this page

Verify at the official NPI Registry.