Individual provider Active NPI

Salvador Murillo, LPC

  • Professional Counselor
  • Milwaukee, WI
National Provider Identifier
1750146122
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10806-125 Issued in WI
Practice address
3365 S 103Rd St Ste 100
Milwaukee, WI 53227-4162
Phone
(414) 321-3951
Fax
(414) 321-8307
NPI assigned
Feb 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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 10806-125 WI Primary

Addresses

Primary practice location

3365 S 103Rd St Ste 100
Milwaukee, WI 53227-4162

Mailing address

3733 S 16TH St
Milwaukee, WI 53221-1621
Phone (414) 750-0821

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
I20250605000340 WI Practitioner - Mental Health Counselor 3779092259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Wisconsin LLCGroup PAC ID 6901224773, 7 clinicians

Practice addresses (Care Compare)

2330 S 54TH St
West Allis, WI 53219-2290
Phone (414) 615-7100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Wisconsin LLC CurrentSince May 20, 2025 Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

3100 Washington Rd
Kenosha, WI 53144
Phone (262) 658-4039

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": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1750146122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 S 16TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532211621",
            "telephone_number": "414-750-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 S 103RD ST STE 100",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532274162",
            "telephone_number": "414-321-3951",
            "fax_number": "414-321-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURILLO",
        "first_name": "SALVADOR",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10806-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.