Individual provider Active NPI

Patricia Torzala, LPC

  • Professional Counselor
  • Waukesha, WI
National Provider Identifier
1689287385
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7923-125 Issued in WI
Practice address
2717 N Grandview Blvd Ste 303
Waukesha, WI 53188-1660
Phone
(262) 544-6486
Fax
(262) 544-6377
NPI assigned
Aug 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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 7923-125 WI Primary

Addresses

Primary practice location

2717 N Grandview Blvd Ste 303
Waukesha, WI 53188-1660

Mailing address

2717 N Grandview Blvd Ste 303
Waukesha, WI 53188-1660
Phone (262) 544-6486

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
I20240111004341 WI Practitioner - Mental Health Counselor 8224489497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness West LLCGroup PAC ID 4789052820, 6 clinicians

Practice addresses (Care Compare)

2428 N Grandview Blvd
Suite 101
Waukesha, WI 53188-6906
Phone (262) 259-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7923-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stress Management & Mental Health Clinics Inc CurrentSince Aug 30, 2020 Accepting new patients
Wellness West LLC CurrentSince Jan 1, 2024 Accepting new patients
Thousand Mile Journey LLC PastSince Aug 30, 2020 Accepting new patients

Locations

2717 N Grandview Blvd
Ste 303
Waukesha, WI 53188
Phone (262) 544-6486

2428 N Grandview Blvd
Ste 101
Waukesha, WI 53188
Phone (262) 259-4100

Organizations & group practices 3

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": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1689287385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 N GRANDVIEW BLVD STE 303",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881660",
            "telephone_number": "262-544-6486",
            "fax_number": "262-544-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 N GRANDVIEW BLVD STE 303",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881660",
            "telephone_number": "262-544-6486",
            "fax_number": "262-544-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORZALA",
        "first_name": "PATRICIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7923-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.