Individual provider Active NPI

Madison Marissa Schueller, LPC-IT

  • Mental Health Counselor
  • Port Washington, WI
National Provider Identifier
1467363697
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9297226 Issued in WI
Practice address
124 N Franklin St
Port Washington, WI 53074-1901
Phone
(414) 455-0644
NPI assigned
Sep 16, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9297226 WI Primary

Addresses

Primary practice location

124 N Franklin St
Port Washington, WI 53074-1901

Mailing address

907 N Benjamin St
Port Washington, WI 53074-1402
Phone (262) 339-9769

Other practice location 1

11124 N Cedarburg Rd Ste 150
Mequon, WI 53092-4362
Phone (414) 455-0644

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": "1789516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1467363697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 N BENJAMIN ST",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741402",
            "telephone_number": "262-339-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N FRANKLIN ST",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741901",
            "telephone_number": "414-455-0644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11124 N Cedarburg Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530924362",
            "country_code": "US",
            "telephone_number": "414-455-0644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUELLER",
        "first_name": "MADISON",
        "middle_name": "MARISSA",
        "credential": "LPC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "9297226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.