Individual provider Active NPI

Ligia Wipfli, SAC, LPC

  • Addiction (Substance Use Disorder) Counselor
  • Milwaukee, WI
National Provider Identifier
1689840142
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
15362-131 Issued in WI
Practice address
1032 S Cesar E Chavez Dr
Milwaukee, WI 53204-2203
Phone
(414) 672-1353
NPI assigned
May 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15362-131 WI Primary

Addresses

Primary practice location

1032 S Cesar E Chavez Dr
Milwaukee, WI 53204-2203

Mailing address

2727 N. Gandview Blvd.
Suite 203
Waukesha, WI 53188-8789
Phone (262) 547-5567

Other practice location 1

210 NW Barstow St
Suite 110
Waukesha, WI 53188-3771
Phone (262) 928-4402

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
I20240220003898 WI Practitioner - Mental Health Counselor 6507031739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Service Agency of Waukesha County IncGroup PAC ID 0648168823, 6 clinicians

Practice addresses (Care Compare)

2727 N Grandview Blvd
Suite 203
Waukesha, WI 53188-1671
Phone (262) 547-5567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15362-131WIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Agency of Waukesha County Inc CurrentSince Jan 24, 2024 Accepting new patients
Sixteenth Street Community Health Centers, Inc. Past Accepting new patients
La Casa de Esperanza PastSince Dec 19, 2011 Accepting new patients

Locations

2727 N Grandview Blvd
Ste 205
Waukesha, WI 53188
Phone (262) 547-5567

2727 N Grandview Blvd
Ste 203
Waukesha, WI 53188
Phone (262) 547-5567

726 N East Ave
Waukesha, WI 53186
Phone (262) 547-5567

2727 N Grandview Blvd
Ste 203205
Waukesha, WI 53188

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": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1689840142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 N. GANDVIEW BLVD.",
            "address_2": "SUITE 203",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531888789",
            "telephone_number": "262-547-5567",
            "fax_number": "262-547-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 S CESAR E CHAVEZ DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532042203",
            "telephone_number": "414-672-1353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 NW Barstow St",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531883771",
            "country_code": "US",
            "telephone_number": "262-928-4402",
            "fax_number": "262-928-7340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIPFLI",
        "first_name": "LIGIA",
        "name_prefix": "Mrs.",
        "credential": "SAC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15362-131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.