Individual provider Active NPI

Melanie Waschbisch, LPC

  • Mental Health Counselor
  • Kenosha, WI
National Provider Identifier
1558993105
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7582-125 Issued in WI
Practice address
6809 122ND Ave
Kenosha, WI 53142-7335
Phone
(262) 891-6600
Fax
(262) 891-6602
NPI assigned
Feb 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Mental Health Counselor 101YM0800X 7582-125 WI Primary

Addresses

Primary practice location

6809 122ND Ave
Kenosha, WI 53142-7335

Mailing address

6809 122ND Ave
Kenosha, WI 53142-7335
Phone (262) 891-6600

Other practice location 1

8825 S Howell Ave # 200
Oak Creek, WI 53154-3760
Phone (414) 215-7554

Other practice location 2

12970 W Bluemound Rd Ste 200
Elm Grove, WI 53122-2607
Phone (262) 780-1020

Other identifiers 1

IdentifierTypeStateIssuer
1558993105MedicaidWI

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7582-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Red Oak Counseling, LTD. CurrentSince Jan 1, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. PastSince Feb 1, 2020 Accepting new patients

Locations

12970 W Bluemound Rd
Ste 200
Elm Grove, WI 53122
Phone (262) 780-1020

8825 S Howell Ave
Ste 200
Oak Creek, WI 53154
Phone (414) 215-7554

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1558993105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6809 122ND AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427335",
            "telephone_number": "262-891-6600",
            "fax_number": "262-891-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6809 122ND AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427335",
            "telephone_number": "262-891-6600",
            "fax_number": "262-891-6602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8825 S Howell Ave # 200",
            "address_purpose": "LOCATION",
            "city": "Oak Creek",
            "state": "WI",
            "postal_code": "531543760",
            "country_code": "US",
            "telephone_number": "414-215-7554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12970 W Bluemound Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Elm Grove",
            "state": "WI",
            "postal_code": "531222607",
            "country_code": "US",
            "telephone_number": "262-780-1020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASCHBISCH",
        "first_name": "MELANIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7582-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558993105",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.