Individual provider Active NPI

Stephanie L Coates-McFeeley, M.S., LPC, SAC

  • Professional Counselor
  • Mukwonago, WI
National Provider Identifier
1467894394
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5697-125 Issued in WI
Practice address
400 Bay View Rd Ste C
Mukwonago, WI 53149-1770
Phone
(262) 789-1191
NPI assigned
Jul 19, 2013
Last updated
Apr 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16779-130 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X 15946-131 WI
Professional Counselor 101YP2500X 2035-226 WI
Professional Counselor 101YP2500X 5697-125 WI Primary

Addresses

Primary practice location

400 Bay View Rd Ste C
Mukwonago, WI 53149-1770

Mailing address

1351 Cider Cir
Mukwonago, WI 53149-1935
Phone (262) 333-9154

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
I20240127000614 WI Practitioner - Mental Health Counselor 1456704303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Counseling Services IncGroup PAC ID 1456256023, 338 clinicians

Practice addresses (Care Compare)

400 Bay View Rd C
Mukwonago, WI 53149-1770
Phone (262) 789-1191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
15946-131WIMDAddiction (Substance Use Disorder) Counselor
16779-130WIMDAddiction (Substance Use Disorder) Counselor
2035-226WIMDProfessional Counselor
5697-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Services, Inc Addiction (Substance Use Disorder) CurrentSince Dec 13, 2023 Accepting new patients
American Behavioral Clinics, SC Past Accepting new patients
Credence Therapy Associates Inc PastSince Aug 1, 2002 Accepting new patients

Locations

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

10850 W Park Pl
Ste 100
Milwaukee, WI 53224
Phone (414) 361-4100

400 Bay View Rd
Ste C
Mukwonago, WI 53149
Phone (262) 458-9436

1143 Warwick Way
Unit A
Racine, WI 53406
Phone (262) 977-9290

741 N Grand Ave
Ste 302
Waukesha, WI 53186
Phone (262) 789-0909

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.stephaniecoates@149809.advancedmd-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1467894394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 CIDER CIR",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491935",
            "telephone_number": "262-333-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BAY VIEW RD STE C",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491770",
            "telephone_number": "262-789-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATES-MCFEELEY",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "M.S., LPC, SAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16779-130",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15946-131",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "2035-226",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5697-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mukwonago, WI

Sources for this page

Verify at the official NPI Registry.