Individual provider Active NPI

Yolanda Marie Thomas

  • Professional Counselor
  • Milwaukee, WI
National Provider Identifier
1407382534
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7264-125 Issued in WI
Practice address
9205 W Center St Ste 200
Milwaukee, WI 53222-4548
Phone
(262) 229-9018
NPI assigned
May 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7262-125 WI
Professional Counselor 101YP2500X 7264-125 WI Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

9205 W Center St Ste 200
Milwaukee, WI 53222-4548

Mailing address

9205 W Center St Ste 200
Milwaukee, WI 53222-4548
Phone (262) 229-9018

Other practice location 1

4929 W Fond Du Lac Ave
Milwaukee, WI 53216-2324
Phone (414) 871-6122

Other practice location 2

111 W Pleasant St Ste 202
Milwaukee, WI 53212-3901
Phone (414) 908-0282

Other practice location 3

2020 W Wells St
Milwaukee, WI 53233-2720
Phone (414) 476-9675

Other practice location 4

4001 W Capitol Dr
Milwaukee, WI 53216-2530
Phone (414) 455-3879

Other names 1

  • Yolanda Marie Smith 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
I20240313001955 WI Practitioner - Mental Health Counselor 7012353030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornerstone Counseling Services IncGroup PAC ID 1456256023, 338 clinicians

Practice addresses (Care Compare)

5650 N Green Bay Ave
Suite 205
Glendale, WI 53209-4446
Phone (262) 789-1191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7262-125WIMDProfessional Counselor
7264-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Community Health Centers, Inc CurrentSince Jan 29, 2024 Accepting new patients
Outreach Community Health Centers, Inc. CurrentSince Jan 29, 2024 Accepting new patients
Cornerstone Counseling Services, Inc Mental Health CurrentSince Feb 28, 2025 Accepting new patients
Broadstep-Wisconsin, Inc. Past Accepting new patients
Bell Therapy Family Care Cmu Past Accepting new patients

Locations

16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909

220 W Capitol Dr
Glendale, WI 53212
Phone (414) 964-9018

5650 N Green Bay Ave
Ste 205
Milwaukee, WI 53209
Phone (833) 314-1716

1143 Warwick Way
Racine, WI 53406
Phone (262) 321-0110

Organizations & group practices 5

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": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1407382534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 W CENTER ST STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532224548",
            "telephone_number": "262-229-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 W CENTER ST STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532224548",
            "telephone_number": "262-229-9018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4929 W Fond Du Lac Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532162324",
            "country_code": "US",
            "telephone_number": "414-871-6122",
            "fax_number": "414-871-2552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 W Pleasant St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532123901",
            "country_code": "US",
            "telephone_number": "414-908-0282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 W Wells St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532332720",
            "country_code": "US",
            "telephone_number": "414-476-9675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4001 W Capitol Dr",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532162530",
            "country_code": "US",
            "telephone_number": "414-455-3879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "YOLANDA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7262-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7264-125",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOLANDA",
            "last_name": "SMITH",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.