Individual provider Active NPI

Janis A Avalos Rios, MA, LPC

  • Professional Counselor
  • Hales Corners, WI
National Provider Identifier
1639563448
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8299-125 Issued in WI
Practice address
5250 S 108TH St
Hales Corners, WI 53130-1321
Phone
(414) 296-1730
Fax
(414) 209-4621
NPI assigned
Mar 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8299-125 WI Primary

Addresses

Primary practice location

5250 S 108TH St
Hales Corners, WI 53130-1321

Mailing address

5250 S 108TH St
Hales Corners, WI 53130-1321
Phone (414) 296-1730

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
I20240208003131 WI Practitioner - Mental Health Counselor 2062855877 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stigmacure SCGroup PAC ID 0143672741, 6 clinicians

Practice addresses (Care Compare)

5250 S 108TH St
Hales Corners, WI 53130-1321
Phone (414) 296-1730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
8299-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Empyrean Ventures Inc Professional CurrentSince Mar 1, 2026 Accepting new patients
Stigmacure SC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

5250 S 108th St
Hales Corners, WI 53130
Phone (414) 296-1730

N14W23777 Stone Ridge Dr
Ste 290
Waukesha, WI 53188
Phone (262) 716-7580

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.

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1639563448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 S 108TH ST",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531301321",
            "telephone_number": "414-296-1730",
            "fax_number": "414-209-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 S 108TH ST",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531301321",
            "telephone_number": "414-296-1730",
            "fax_number": "414-209-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVALOS RIOS",
        "first_name": "JANIS",
        "middle_name": "A",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-19",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8299-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hales Corners, WI

Sources for this page

Verify at the official NPI Registry.