Individual provider Active NPI

Emily Cathleen Nolan, MA

  • Professional Counselor
  • Milwaukee, WI
National Provider Identifier
1376710749
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4057-125 Issued in WI
Practice address
700 W Virginia St
Milwaukee, WI 53204-1549
Phone
(414) 378-0602
NPI assigned
May 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4057-125 WI Primary

Addresses

Primary practice location

700 W Virginia St
Milwaukee, WI 53204-1549

Mailing address

7425 Grand Pkwy
Wauwatosa, WI 53213-3661
Phone (414) 378-0602

Other names 1

  • Emily Goldstein 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
I20260114003172 WI Practitioner - Mental Health Counselor 6901382456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1001 W Glen Oaks LN
Suite 105
Mequon, WI 53092-3369

7425 Grand Pkwy
Wauwatosa, WI 53213-3661

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4057-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Art and Integrated Therapies Inc Professional CurrentSince Jul 22, 2022 Accepting new patients

Locations

1001 W Glen Oaks Ln
Ste 105
Mequon, WI 53092
Phone (414) 258-8314

700 W Virginia St
Ste 204
Milwaukee, WI 53204
Phone (414) 207-4565

700 W Virginia St
Ste 203
Milwaukee, WI 53204
Phone (414) 207-4565

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.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1376710749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 GRAND PKWY",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532133661",
            "telephone_number": "414-378-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W VIRGINIA ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532041549",
            "telephone_number": "414-378-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "EMILY",
        "middle_name": "CATHLEEN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4057-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "GOLDSTEIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.