Bradley Kyle Brown, LPC
Individual provider Active NPI Professional Counselor · Glendale, WI
NPI 1386495299 · NPPES record last updated Feb 14, 2026
Key facts
- NPI
- 1386495299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 12201-125 (WI)
- Practice address
- 5555 N Port Washington Rd Ste 200
Glendale, WI 53217-4927 - Phone
- (262) 999-3495
- Fax
- (262) 821-6180
- NPI assigned
- Mar 28, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cornerstone Counseling Services Inc
Practice addresses (Care Compare)
5555 N Port Washington Rd
Suite 200
Glendale, WI 53217-4927
Phone (262) 789-1191
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260225001125 | WI | Practitioner - Mental Health Counselor | 5193206480 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12201-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Counseling Services, Inc | Mental Health | Current |
Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909
5555 N Port Washington Rd
Ste 200
Glendale, WI 53217
Phone (414) 962-6100
10850 W Park Pl
Ste 100
Milwaukee, WI 53224
Phone (414) 361-4100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12201-125 | WI | Yes |
Addresses
Primary practice location
5555 N Port Washington Rd Ste 200
Glendale, WI 53217-4927
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Other practice location 1
922 S 29th St
Milwaukee, WI 53215-1616
Phone (414) 305-2349
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12201-125 | Other | WI | LPC |
Other providers in Glendale, WI
- Mary T Breger
- Tracy Lynn Bretl
- Brew City Dental Care LLC
- Samantha Broomfield
- Brown Deer Dental Health Center, SC
- Danicha S Brown
- Bruce Holmstrom D.D.S.,SC
- Ted Terry Bruce
- Timothy Peter Bruce
- Jay Bubrick
All providers in Glendale, WI · Professional Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.