Individual provider Active NPI

Mitchell Lee Mueller, MPS, LPCC, LADC

  • Mental Health Counselor
  • West Bend, WI
National Provider Identifier
1770940272
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7152 Issued in WI
Practice address
1784 Barton Ave Ste 9
West Bend, WI 53090-5418
Phone
(651) 497-1909
NPI assigned
Jan 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1898 MN
Mental Health Counselor 101YM0800X 7152 WI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 304281 MN

Addresses

Primary practice location

1784 Barton Ave Ste 9
West Bend, WI 53090-5418

Mailing address

1784 Barton Ave Ste 9
West Bend, WI 53090-5418
Phone (651) 497-1909

Other practice location 1

333 E Washington St Ste 2100
West Bend, WI 53095
Phone (262) 335-4600

Other practice location 2

570 Asbury St
Suite 300
Saint Paul, MN 55104-1849
Phone (651) 644-8515

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
I20240327002690 WI Practitioner - Mental Health Counselor 6800243015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Minnesota Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mequon Clinical Associates SCGroup PAC ID 5092876524, 11 clinicians

Practice addresses (Care Compare)

1045 W Glen Oaks LN
Suite 1
Mequon, WI 53092-3477
Phone (262) 241-8100

1784 Barton Ave
Suite 9
West Bend, WI 53090-5418
Phone (262) 353-9955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
304281MNMDAddiction (Substance Use Disorder) Counselor
1898MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mueller Counseling LLC Addiction (Substance Use Disorder) CurrentSince Jul 11, 2024 Accepting new patients
Mequon Clinical Associates, SC Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Alarus Home Health LLC PastSince Mar 14, 2024 Accepting new patients
Project Pathfinder Inc. PastSince Jul 24, 2022 Accepting new patients

Locations

1045 W Glen Oaks Ln
Ste 1
Mequon, WI 53092
Phone (262) 241-7778

1784 Barton Ave
Ste 9
West Bend, WI 53090
Phone (262) 353-9955

Organizations & group practices 4

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": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1770940272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1784 BARTON AVE STE 9",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530905418",
            "telephone_number": "651-497-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1784 BARTON AVE STE 9",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530905418",
            "telephone_number": "651-497-1909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 E Washington St Ste 2100",
            "address_purpose": "LOCATION",
            "city": "West Bend",
            "state": "WI",
            "postal_code": "53095",
            "country_code": "US",
            "telephone_number": "262-335-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "570 Asbury St",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551041849",
            "country_code": "US",
            "telephone_number": "651-644-8515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "MITCHELL",
        "middle_name": "LEE",
        "credential": "MPS, LPCC, LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-28",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1898",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7152",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bend, WI

Sources for this page

Verify at the official NPI Registry.