Active NPI
Rebecca Fink-Leach, LPC, SAC-IT
- Mental Health Counselor
- Mequon, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10125
- Practice address
- 11649 N Port Washington Rd Ste 201
Mequon, WI 53092-3459 - Phone
- (262) 789-1191
- NPI assigned
- Feb 22, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19403 | WI | |
| Mental Health Counselor | 101YM0800X | 10125 | WI | Primary |
Addresses
Primary practice location
11649 N Port Washington Rd Ste 201
Mequon, WI 53092-3459
Mailing address
339 Park Hill Dr Unit H
Pewaukee, WI 53072-2443
Phone (847) 691-0481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19403 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 10125 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Counseling Services, Inc | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909
1035 W Glen Oaks Ln
Ste 110
Mequon, WI 53092
Phone (262) 240-0299
11649 N Port Washington Rd
Ste 201
Mequon, WI 53092
Phone 2627891191380
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Brookfield, WI
- NPI 1033127246
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1376241950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 PARK HILL DR UNIT H",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530722443",
"telephone_number": "847-691-0481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11649 N PORT WASHINGTON RD STE 201",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923459",
"telephone_number": "262-789-1191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINK-LEACH",
"first_name": "REBECCA",
"credential": "LPC, SAC-IT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-22",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "19403",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "10125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.