Individual provider Active NPI

Susan Lee Whitehead, LPC

  • Professional Counselor
  • Middleton, WI
National Provider Identifier
1659634178
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4829-125 Issued in WI
Practice address
8215 Greenway Blvd Ste 160
Middleton, WI 53562-3689
Phone
(262) 999-3495
NPI assigned
Jun 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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 4829-125 WI Primary

Addresses

Primary practice location

8215 Greenway Blvd Ste 160
Middleton, WI 53562-3689

Mailing address

8215 Greenway Blvd Ste 160
Middleton, WI 53562-3689
Phone (262) 999-3495

Other practice location 1

101 W Broadway
2nd Fl
Waukesha, WI 53186-4833
Phone (262) 547-5567

Other practice location 2

1230 Corporate Center Dr Ste 100
Oconomowoc, WI 53066-4883
Phone (262) 999-3495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: No
  • 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
I20250430003077 WI Practitioner - Mental Health Counselor 3072039262 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Services, Inc CurrentSince May 28, 2025 Accepting new patients
Family Services of Waukesha Past Accepting new patients
Knueppel Healthcare Services, Inc. Past Accepting new patients
Family Service Agency of Waukesha County Inc Past Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909

8215 Greenway Blvd
Ste 160
Middleton, WI 53562
Phone (608) 801-4741

1230 Corporate Center Dr
Ste 100
Oconomowoc, WI 53066
Phone 2627891191 ext. 388

1143 Warwick Way
Racine, WI 53406
Phone (262) 321-0110

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1659634178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 GREENWAY BLVD STE 160",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623689",
            "telephone_number": "262-999-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 GREENWAY BLVD STE 160",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623689",
            "telephone_number": "262-999-3495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W Broadway",
            "address_2": "2nd Fl",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531864833",
            "country_code": "US",
            "telephone_number": "262-547-5567",
            "fax_number": "262-547-1608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1230 Corporate Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Oconomowoc",
            "state": "WI",
            "postal_code": "530664883",
            "country_code": "US",
            "telephone_number": "262-999-3495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "SUSAN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4829-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

Verify at the official NPI Registry.