Midwest Wellness Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MIDWEST WELLNESS INC.

Practice address

715 Decorah Rd
West Bend, WI 53095-8112

Phone

(262) 305-9668

NPI assigned

Sep 5, 2023

Organization subpart

No

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

Authorized official

Name

Lynn M Nowak, LPCNPI 1962748624

Title

Owner

Phone

(262) 305-9668

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 3

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

• Lynn Nowak, LPC, CSAC

  • Professional Counselor
  • West Bend, WI
  • NPI 1962748624
  Medicare reassignment NPD Authorized official
• Kayla Petersen, LPC

  • Mental Health Counselor
  • Rice Lake, WI
  • NPI 1649921362

  Professional

  NPD
• Jean JP Beauchesne

  • Counselor
  • Milwaukee, WI
  • NPI 1972868578
  NPD (past)

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1427834654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 DECORAH RD",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530958112",
            "telephone_number": "262-305-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 DECORAH RD",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530958112",
            "telephone_number": "262-305-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "NOWAK",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-305-9668",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Z Mian, MD
• Michael C. Reineck, MD
• Caitlin Michalski, MA. LPC
• Christa Middleton, M.S., L.P.C.
• Midwest Kidney Care, LLC
• Ashley Renee Miller, DPT
• Dawn Miller
• Ernest H. Miller, LPC, CSAC
• Jessica R. Miller, MD
• Michelle M. Miller, M.D.

• Professional Counselor in West Bend, WI
• Providers in West Bend, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.