Individual provider Active NPI

Claudia J Ochalek, LPC

  • Professional Counselor
  • Waukesha, WI
National Provider Identifier
1619991536
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
719-125 Issued in WI
Practice address
2607 N Grandview Blvd
Suite 102
Waukesha, WI 53188-1686
Phone
(262) 446-9981
Fax
(262) 446-9983
NPI assigned
Jul 26, 2006
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 719-125 WI Primary
Clinical Social Worker 1041C0700X 1570-123 WI

Addresses

Primary practice location

2607 N Grandview Blvd
Suite 102
Waukesha, WI 53188-1686

Mailing address

3900 W Brown Deer Rd
Suite 200
Brown Deer, WI 53209-1220
Phone (414) 540-2170

Other identifiers 1

IdentifierTypeStateIssuer
39665500MedicaidWI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160505000009 WI Practitioner - Clinical Social Worker 8224337712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Wisconsin School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Wisconsin LLCGroup PAC ID 6901224773, 7 clinicians

Practice addresses (Care Compare)

18740 W Bluemound Rd
Brookfield, WI 53045-2936
Phone (262) 782-0230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
719-125WIMDProfessional Counselor
1570-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Waukesha County CurrentSince Apr 3, 2016 Accepting new patients
Waukesha County CurrentSince Apr 3, 2016 Accepting new patients
Vitae Health Medical Wisconsin LLC CurrentSince Aug 20, 2024 Accepting new patients
Waukesha County Current Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

18740 W Bluemound Rd
Brookfield, WI 53045
Phone (262) 782-0230

3100 Washington Rd
Kenosha, WI 53144
Phone (262) 658-4039

1501 Airport Rd
Waukesha, WI 53188
Phone (262) 548-7950

514 Riverview Ave
Waukesha, WI 53188
Phone (262) 548-7212

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1619991536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 W BROWN DEER RD",
            "address_2": "SUITE 200",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532091220",
            "telephone_number": "414-540-2170",
            "fax_number": "414-540-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 N GRANDVIEW BLVD",
            "address_2": "SUITE 102",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881686",
            "telephone_number": "262-446-9981",
            "fax_number": "262-446-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHALEK",
        "first_name": "CLAUDIA",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "719-125",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1570-123",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39665500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.