Miriam E Corona, LPC, CSAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8781-125 Issued in WI

Practice address

5910 39TH Ave
Kenosha, WI 53144-2738

Phone

(262) 833-5999

Fax

(262) 357-8431

NPI assigned

Oct 9, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Neurowave Therapy Group LLC

  • Professional Counselor
  • Kenosha, WI
  • NPI 1205660206
  Medicare reassignment NPD Authorized official
• Advance Clinical Services

  dba Advance Clinical Services LLC

  • Clinical Social Worker
  • Kenosha, WI
  • NPI 1124791595
  NPD (past)
• Neurowave Clinical Education LLC

  • Professional Counselor
  • South Milwaukee, WI
  • NPI 1366263659
  NPD (past)
• Quality Addiction Management Inc

  dba Kenosha Comprehensive Treatment Center

  • Methadone Clinic
  • Kenosha, WI
  • NPI 1184354979
  NPD (past)
• Quality Addiction Management Inc

  • Methadone Clinic
  • Green Bay, WI
  • NPI 1629282470

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1649745340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 90TH ST",
            "city": "STURTEVANT",
            "state": "WI",
            "postal_code": "531771806",
            "telephone_number": "414-554-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 39TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531442738",
            "telephone_number": "262-833-5999",
            "fax_number": "262-357-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONA",
        "first_name": "MIRIAM",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LPC, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16627-132",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8781-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Cooper
• Jennifer Anne Corbett-Willing, M.ED , LPC
• Tristan Nastassia Corbitt, RN
• Lauren Cornejo, OTR-L
• Cornerstone Caregiving East LLC
• Rebekah Costello, DO
• Christina A Cotey, DPT
• Minnie Cotten-Beal
• Bailey Coutteau, CCC-SLP
• Covenant Counseling Associates, Inc.

• Professional Counselor in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.

Verify at the official NPI Registry.