Individual provider Active NPI

Andrea Renee Zulkowski, LPC

  • Professional Counselor
  • Milwaukee, WI
National Provider Identifier
1730647959
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8735-125 Issued in WI
Practice address
1661 N Water St Ste 400
Milwaukee, WI 53202-2086
Phone
(414) 786-8265
NPI assigned
Mar 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 19020-130 WI
Professional Counselor 101YP2500X 8735-125 WI Primary

Addresses

Primary practice location

1661 N Water St Ste 400
Milwaukee, WI 53202-2086

Mailing address

1661 N Water St Ste 400
Milwaukee, WI 53202-2086
Phone (414) 786-8265

Other practice location 1

6121 Green Bay Rd Ste 200
Kenosha, WI 53142-2931
Phone (262) 864-1141

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
I20250911003438 WI Practitioner - Mental Health Counselor 6204339609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2906 Cormorant Rd
Delray Beach, FL 33444-3334

6121 Green Bay Rd
Suite 200
Kenosha, WI 53142-2931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19020-130WIMDAddiction (Substance Use Disorder) Counselor
8735-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Clinical Services CurrentSince May 26, 2025 Accepting new patients

Locations

6121 Green Bay Rd
Ste 200
Kenosha, WI 53142
Phone (262) 694-3718

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1730647959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 N WATER ST STE 400",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022086",
            "telephone_number": "414-786-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 N WATER ST STE 400",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022086",
            "telephone_number": "414-786-8265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6121 Green Bay Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531422931",
            "country_code": "US",
            "telephone_number": "262-864-1141",
            "fax_number": "262-351-0132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZULKOWSKI",
        "first_name": "ANDREA",
        "middle_name": "RENEE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "19020-130",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8735-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.