Individual provider Active NPI

Shem M Biebert, MS, LPC

  • Professional Counselor
  • Wauwatosa, WI
National Provider Identifier
1366054579
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8712-125 Issued in WI
Practice address
2520 N Wauwatosa Ave
Wauwatosa, WI 53213-1135
Phone
(800) 438-1772
Fax
(262) 345-5562
NPI assigned
Aug 19, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 19254-130 WI
Professional Counselor 101YP2500X 4759-226 WI
Professional Counselor 101YP2500X 8712-125 WI Primary

Addresses

Primary practice location

2520 N Wauwatosa Ave
Wauwatosa, WI 53213-1135

Mailing address

W175N11120 Stonewood Dr
Germantown, WI 53022-4799
Phone (800) 438-1772

Other identifiers 1

IdentifierTypeStateIssuer
100138541MedicaidWI

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
I20240123000037 WI Practitioner - Mental Health Counselor 7214389543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornerstone Counseling Services IncGroup PAC ID 1456256023, 338 clinicians

Practice addresses (Care Compare)

10850 W Park Place
Suite 100
Milwaukee, WI 53224-3636
Phone (262) 789-1191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
19254-130WIMDAddiction (Substance Use Disorder) Counselor
4759-226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Lutheran Child & Family Service, Inc. CurrentSince Aug 23, 2020 Accepting new patients
Cornerstone Counseling Services, Inc Addiction (Substance Use Disorder) CurrentSince Sep 14, 2025 Accepting new patients
Wisconsin Lutheran Child and Family Service Inc Professional CurrentSince Jan 1, 2024 Accepting new patients
Wisconsin Lutheran Child & Family Service, Inc Addiction (Substance Use Disorder) PastSince Jan 1, 2024 Accepting new patients

Locations

4351 W College Ave
Ste 410
Appleton, WI 54914
Phone (262) 345-5599

16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909

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

10850 W Park Pl
Ste 100
Milwaukee, WI 53224
Phone (414) 361-4100

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

2520 N Wauwatosa Ave
Wauwatosa, WI 53213

Organizations & group practices 4

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": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1366054579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W175N11120 STONEWOOD DR",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530224799",
            "telephone_number": "800-438-1772",
            "fax_number": "262-345-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 N WAUWATOSA AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131135",
            "telephone_number": "800-438-1772",
            "fax_number": "262-345-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIEBERT",
        "first_name": "SHEM",
        "middle_name": "M",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-19",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "19254-130",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4759-226",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8712-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100138541",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.