Active NPI
Paula J Hillmann, PH.D.
- Professional Counselor
- Waukesha, WI
National Provider Identifier
1669778619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5116-125
- Practice address
- 2717 N Grandview Blvd
#112
Waukesha, WI 53188-1672 - Phone
- (262) 408-3211
- NPI assigned
- Feb 8, 2011
- Last updated
- Jul 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5116-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shore Counseling and Consulting Clinic, S.C. | Current | 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.
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- NPI 1588710073
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.