Marcella Syville Adkins, LPC, SAC-IT
Individual provider Active NPI Professional Counselor · Milwaukee, WI
NPI 1659404309 · NPPES record last updated Oct 26, 2010
Key facts
- NPI
- 1659404309
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 4059-125 (WI)
- Practice address
- 6001 W Center St
Suite 208
Milwaukee, WI 53210-2154 - Phone
- (414) 393-1099
- Fax
- (414) 393-7993
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14841-130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 4059-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adkins Counseling Services, LLC | Current | Accepting new patients |
Locations
6001 W Center St
Ste 208
Milwaukee, WI 53210
Phone (414) 393-1099
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4059-125 | WI | Yes |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 14841-130 | WI |
Addresses
Primary practice location
6001 W Center St
Suite 208
Milwaukee, WI 53210-2154
Mailing address
6001 W Center St
Suite 208
Milwaukee, WI 53210-2154
Phone (414) 393-1099
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43725300 | Medicaid | WI |
Other providers in Milwaukee, WI
- Avery Adkins
- Breanna Marion Adkins
- Collin Adkins
- Darnell Adkins Sr.
- Jason Richard Adkins
- Shawn Denise Adkisson
- Dima Adl
- Mohammed Adlan
- Jeffrey M Adler
- Keighlynn Nichole Adlof
All providers in Milwaukee, WI · Professional Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.