Active NPI
Michelle Lynn Willes, MGC, CGC
- Genetic Counselor (M.S.)
- Milwaukee, WI
National Provider Identifier
1619740065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- 1261-61
- Practice address
- 8915 W Connell Ave
Milwaukee, WI 53226-3067 - Phone
- (414) 266-3347
- NPI assigned
- Nov 6, 2023
- Last updated
- Dec 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | 1261-61 | WI | Primary |
Addresses
Primary practice location
8915 W Connell Ave
Milwaukee, WI 53226-3067
Mailing address
PO Box 1997
Milwaukee, WI 53201-1997
Phone (414) 266-3347
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1261-61 | WI | MD | Genetic Counselor (M.S.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1619740065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1997",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532011997",
"telephone_number": "414-266-3347",
"fax_number": "141-266-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8915 W CONNELL AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263067",
"telephone_number": "414-266-3347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLES",
"first_name": "MICHELLE",
"middle_name": "LYNN",
"credential": "MGC, CGC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-06",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "WI",
"license": "1261-61",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
- Terrence J Wilkins, MD
- Sarah Marie Wilkinson
- Angelia Raychell Wilks-Tate, MS RD CD CLS
- Haley Willarson, MD
- Amanda L Willcox
- Abbygale Mae Willging, MD
- William B. Potos M.D. Commonwealth Medical Group (Commonwealth Medical Group)
- William B. Potos M.D. Family Medicine
- William J. Saucier, M.D., S.C.
- Angela Williams, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.