Individual provider Active NPI

Paula J Hillmann, PH.D.

  • Professional Counselor
  • Waukesha, WI
National Provider Identifier
1669778619
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5116-125 Issued in WI
Practice address
2717 N Grandview Blvd
#112
Waukesha, WI 53188-1672
Phone
(262) 408-3211
NPI assigned
Feb 8, 2011
Last updated
Jul 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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 5116-125 WI Primary

Addresses

Primary practice location

2717 N Grandview Blvd
#112
Waukesha, WI 53188-1672

Mailing address

W276N2075 Spring Creek Dr
Pewaukee, WI 53072-5367
Phone (262) 408-3211

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
I20240227000871 WI Practitioner - Mental Health Counselor 1850736174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Counseling and Consulting Clinic SCGroup PAC ID 3072580547, 14 clinicians

Practice addresses (Care Compare)

2600 N Mayfair Rd
Suite 650
Wauwatosa, WI 53226-1321
Phone (414) 771-9304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5116-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Counseling and Consulting Clinic, S.C. CurrentSince Jan 1, 2024 Accepting new patients

Locations

2600 N Mayfair Rd
Ste 650
Wauwatosa, WI 53226
Phone (414) 771-9304

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1669778619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W276N2075 SPRING CREEK DR",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725367",
            "telephone_number": "262-408-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 N GRANDVIEW BLVD",
            "address_2": "#112",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881672",
            "telephone_number": "262-408-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLMANN",
        "first_name": "PAULA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-08",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5116-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.