Organization Active NPI

Mueller Counseling LLC

  • Mental Health Counselor
  • West Bend, WI
National Provider Identifier
1396219150
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MUELLER COUNSELING LLC
Practice address
1784 Barton Ave Ste 9
West Bend, WI 53090-5418
Phone
(651) 497-1909
NPI assigned
Jan 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Mitchell Lee Mueller, MPS, LPC, LADC, LPCCNPI 1770940272
Title
Owner/Therapist
Phone
(651) 497-1909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

1784 Barton Ave Ste 9
West Bend, WI 53090-5418

Mailing address

1784 Barton Ave Ste 9
West Bend, WI 53090-5418
Phone (651) 497-1909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241004002793 WI Part B Supplier - Clinic/Group Practice 2264963941 Receives reassigned benefits from 1 practitioner
Practice locations: West Bend, WI

National Provider Directory

National Provider Directory

Locations

1784 Barton Ave
Ste 9
West Bend, WI 53090
Phone (262) 353-9955

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1396219150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1784 BARTON AVE STE 9",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530905418",
            "telephone_number": "651-497-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1784 BARTON AVE STE 9",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530905418",
            "telephone_number": "651-497-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUELLER COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "651-497-1909",
        "authorized_official_credential": "MPS, LPC, LADC, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.