Individual provider Active NPI

Maria Elena Lodenkamp

  • Counselor
  • Green Bay, WI
National Provider Identifier
1639073570
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
3908 Woodland Rd Apt 10
Green Bay, WI 54313-8149
Phone
(920) 737-9518
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X WI Primary

Addresses

Primary practice location

3908 Woodland Rd Apt 10
Green Bay, WI 54313-8149

Mailing address

2133 Fox Point Cir
De Pere, WI 54115-3316
Phone (920) 737-9518

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1639073570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 FOX POINT CIR",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541153316",
            "telephone_number": "920-737-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 WOODLAND RD APT 10",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543138149",
            "telephone_number": "920-737-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODENKAMP",
        "first_name": "MARIA",
        "middle_name": "ELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.