Individual provider Active NPI

Marilyn Kay Rhodes, M.S. LMFT, LCSW,LPC

  • Professional Counselor
  • Oconomowoc, WI
National Provider Identifier
1518070911
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
495125 Issued in WI
Practice address
888 Thackeray TRL Ste 105
888 Thackeray TR. Suite105
Oconomowoc, WI 53066-4342
Phone
(262) 542-3255
Fax
(262) 567-5451
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 495125 WI Primary
Clinical Social Worker 1041C0700X 3836123 WI
Marriage & Family Therapist 106H00000X 172124 WI

Addresses

Primary practice location

888 Thackeray TRL Ste 105
888 Thackeray TR. Suite105
Oconomowoc, WI 53066-4342

Mailing address

888 Thackeray TR.
Suite105
Oconomowoc, WI 53066
Phone (262) 542-3255

Other identifiers 1

IdentifierTypeStateIssuer
39261600MedicaidWI

Other names 1

  • Mrs. Marilyn Kay Rhodes Professional name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
495125WIMDProfessional Counselor
3836123WIMDClinical Social Worker
172124WIMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1518070911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 THACKERAY TR.",
            "address_2": "SUITE105",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "53066",
            "telephone_number": "262-542-3255",
            "fax_number": "262-567-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 THACKERAY TRL STE 105",
            "address_2": "888 THACKERAY TR. SUITE105",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664342",
            "telephone_number": "262-542-3255",
            "fax_number": "262-567-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "MARILYN",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "M.S. LMFT, LCSW,LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "495125",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3836123",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "172124",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39261600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "RHODES",
            "middle_name": "KAY",
            "prefix": "MRS.",
            "credential": "M.S. LMFT,LCSW,LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Oconomowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.