Active NPI
Melanie Waschbisch, LPC
- Mental Health Counselor
- Kenosha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7582-125
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558993105 | Medicaid | WI |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7582-125 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Oak Counseling, LTD. | Current | Accepting new patients | |
| Optum Behavioral Care of Colorado, P.C. | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Elm Grove, WI
- NPI 1609890391
-
- Clinical Social Worker
- De Pere, WI
- NPI 1396622494
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.