Active NPI
Thomas C Marx, LPC, CSAC
- Professional Counselor
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5330-125
- Practice address
- S22W22660 Broadway Ste 5
Waukesha, WI 53186-8100 - Phone
- (262) 500-4267
- Fax
- (262) 753-6914
- NPI assigned
- Feb 12, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17148-133 | WI | |
| Professional Counselor | 101YP2500X | 5330-125 | WI | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15921-132 | WI |
Addresses
Primary practice location
S22W22660 Broadway Ste 5
Waukesha, WI 53186-8100
Mailing address
S22W22660 Broadway Ste 5
Waukesha, WI 53186-8100
Phone (262) 500-4267
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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
16535 W Bluemound Rd
Suite 200
Brookfield, WI 53005-5906
Phone (262) 789-1191
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15921-132 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 17148-133 | WI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Counseling Services, Inc | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Refresh Midwest Operations, SC | Past | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Brookfield, WI
- NPI 1033127246
Addiction (Substance Use Disorder)
-
- Psychologist
- Hudson, WI
- NPI 1932625357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1689947384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "S22W22660 BROADWAY STE 5",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531868100",
"telephone_number": "262-500-4267",
"fax_number": "262-753-6914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "S22W22660 BROADWAY STE 5",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531868100",
"telephone_number": "262-500-4267",
"fax_number": "262-753-6914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARX",
"first_name": "THOMAS",
"middle_name": "C",
"credential": "LPC, CSAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-12",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "17148-133",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "5330-125",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "15921-132",
"primary": false
}
],
"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 May 28, 2025; 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.