Active NPI
Melissa Ann Kohnert, LCSW
- Clinical Social Worker
- Pewaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11964-123
- Practice address
- N17W24222 Riverwood
170
Pewaukee, WI 53188 - Phone
- (833) 931-2767
- Fax
- (414) 677-7198
- NPI assigned
- Dec 9, 2024
- Last updated
- Dec 9, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11964-123 | WI | Primary |
Addresses
Primary practice location
N17W24222 Riverwood
170
Pewaukee, WI 53188
Mailing address
4276 Glenway Street
Wawautosa, WI 53222
Phone (414) 614-4480
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
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
N17W24222 Riverwood Dr
Suite 170
Waukesha, WI 53188-1134
Phone (262) 999-3495
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Counseling Services, Inc | Current | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909
N17W24222 Riverwood Dr
Ste 170
Waukesha, WI 53188
Phone (262) 648-1687
Organizations & group practices 1
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1568278232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4276 GLENWAY STREET",
"city": "WAWAUTOSA",
"state": "WI",
"postal_code": "53222",
"telephone_number": "414-614-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N17W24222 RIVERWOOD",
"address_2": "170",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "53188",
"telephone_number": "833-931-2767",
"fax_number": "414-677-7198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHNERT",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-09",
"last_updated": "2024-12-09",
"certification_date": "2024-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "11964-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pewaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.