Active NPI
Stephanie L Coates-McFeeley, M.S., LPC, SAC
- Professional Counselor
- Mukwonago, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5697-125
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15946-131 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 16779-130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 2035-226 | WI | MD | Professional Counselor |
| 5697-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Counseling Services, Inc | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| American Behavioral Clinics, SC | Past | Accepting new patients | |
| Credence Therapy Associates Inc | Past | 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
- 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.
-
dba LifeStance Health
- Mental Health Counselor
- Brookfield, WI
- NPI 1033127246
Addiction (Substance Use Disorder)
-
- Psychiatry Physician
- Milwaukee, WI
- NPI 1144313859
-
dba Credence Therapy Associates
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Elkhorn, WI
- NPI 1487648663
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.