Individual provider Active NPI

Carrie Imoehl, LPC

  • Professional Counselor
  • Greenfield, WI
National Provider Identifier
1770105306
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8442-125 Issued in WI
Practice address
4848 S 76TH St
Greenfield, WI 53220-4361
Phone
(262) 510-2838
NPI assigned
May 18, 2020
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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 8442-125 WI Primary

Addresses

Primary practice location

4848 S 76TH St
Greenfield, WI 53220-4361

Mailing address

3813 S Brook PL
St Francis, WI 53235-4205
Phone (262) 510-5381

Other practice location 1

3505 N 124th St
Brookfield, WI 53005-2489
Phone (414) 431-4444 ext. 117

Other identifiers 1

IdentifierTypeStateIssuer
100110145MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8442-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Options Counseling, LLC Mental Health CurrentSince Oct 9, 2022 Accepting new patients
Family Options Counseling Mental Health CurrentSince Oct 9, 2022 Accepting new patients

Locations

3505 N 124th St
Brookfield, WI 53005
Phone (414) 431-4444

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1770105306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3813 S BROOK PL",
            "city": "ST FRANCIS",
            "state": "WI",
            "postal_code": "532354205",
            "telephone_number": "262-510-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 S 76TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204361",
            "telephone_number": "262-510-2838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3505 N 124th St",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530052489",
            "country_code": "US",
            "telephone_number": "414-431-4444 x117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMOEHL",
        "first_name": "CARRIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8442-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100110145",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.