Individual provider Active NPI

Amy L Biwer, LPC

  • Mental Health Counselor
  • Brookfield, WI
National Provider Identifier
1396084828
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3772-125 Issued in WI
Practice address
2511 N 124TH St Ste 106
Brookfield, WI 53005-4684
Phone
(262) 641-4347
Fax
(262) 641-4350
NPI assigned
Feb 4, 2013
Last updated
Jan 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3772-125 WI Primary
Professional Counselor 101YP2500X 3772-125 WI

Addresses

Primary practice location

2511 N 124TH St Ste 106
Brookfield, WI 53005-4684

Mailing address

116 Red Fox Dr
Johnson Creek, WI 53038-9557
Phone (262) 349-0948

Other practice location 1

116 Red Fox Dr
Johnson Creek, WI 53038-9557
Phone (262) 349-0948

Other identifiers 1

IdentifierTypeStateIssuer
3772-125OtherWISTATE OF WISC DEPT OF REGULATION & LICENSING

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
I20231227000295 WI Practitioner - Mental Health Counselor 0244680783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Systemic Perspectives IncGroup PAC ID 0446147847, 9 clinicians

Practice addresses (Care Compare)

2511 N 124TH St
Suite 106
Brookfield, WI 53005-4609
Phone (262) 641-4347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3772-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Systemic Perspectives, Inc. Mental Health CurrentSince Mar 4, 2024 Accepting new patients
Waukesha Health System, Inc. Past Accepting new patients
Prohealth Medical Group Inc Past Accepting new patients

Locations

2511 N 124th St
Ste 106
Brookfield, WI 53005
Phone (262) 641-4347

Organizations & group practices 3

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": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1396084828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 RED FOX DR",
            "city": "JOHNSON CREEK",
            "state": "WI",
            "postal_code": "530389557",
            "telephone_number": "262-349-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 N 124TH ST STE 106",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054684",
            "telephone_number": "262-641-4347",
            "fax_number": "262-641-4350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Red Fox Dr",
            "address_purpose": "LOCATION",
            "city": "Johnson Creek",
            "state": "WI",
            "postal_code": "530389557",
            "country_code": "US",
            "telephone_number": "262-349-0948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIWER",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3772-125",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3772-125",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WISC DEPT OF REGULATION & LICENSING",
            "identifier": "3772-125",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.