Individual provider Active NPI

Evette Rowley, LPC

  • Professional Counselor
  • Kenosha, WI
National Provider Identifier
1679970123
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5545-125 Issued in WI
Practice address
6032 40TH Ave
Kenosha, WI 53142-7018
Phone
(262) 287-1999
NPI assigned
Nov 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 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 5545-125 WI Primary

Addresses

Primary practice location

6032 40TH Ave
Kenosha, WI 53142-7018

Mailing address

6032 40TH Ave
Kenosha, WI 53142-7018
Phone (262) 287-1999

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
I20241125001836 WI Practitioner - Mental Health Counselor 7911319348 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Counseling Services Inc 338 clinicians

Practice addresses (Care Compare)

6525 Green Bay Rd
Suite 2
Kenosha, WI 53142-2967
Phone (262) 999-3495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5545-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Guided Wellness Counseling CurrentSince Nov 11, 2024 Accepting new patients
Cornerstone Counseling Services, Inc Mental Health CurrentSince Apr 7, 2025 Accepting new patients
Premise Health of Wisconsin Medical SC PastSince Jan 1, 2023 Accepting new patients

Locations

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

6032 40th Ave
Kenosha, WI 53142
Phone (262) 287-1999

6525 Green Bay Rd
Ste 2
Kenosha, WI 53142
Phone (262) 492-5276

Organizations & group practices 5

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": "1417132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1679970123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6032 40TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427018",
            "telephone_number": "262-287-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6032 40TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427018",
            "telephone_number": "262-287-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWLEY",
        "first_name": "EVETTE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-28",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5545-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.