Individual provider Active NPI

Mathias Thomas Mulvey-Videla

  • Professional Counselor
  • Milwaukee, WI
National Provider Identifier
1457262255
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9296-226 Issued in WI
Practice address
1129 N Jackson St Apt 201
Milwaukee, WI 53202-3206
Phone
(414) 915-7715
NPI assigned
Sep 14, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 9296-226 WI Primary

Addresses

Primary practice location

1129 N Jackson St Apt 201
Milwaukee, WI 53202-3206

Mailing address

1129 N Jackson St Apt 201
Milwaukee, WI 53202-3206
Phone (414) 915-7715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1457262255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 N JACKSON ST APT 201",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023206",
            "telephone_number": "414-915-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 N JACKSON ST APT 201",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023206",
            "telephone_number": "414-915-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULVEY-VIDELA",
        "first_name": "MATHIAS",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "9296-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.