Individual provider Active NPI

Elizabeth Ann Mueller, LPC, SAC-IT, ATR

  • Mental Health Counselor
  • Milwaukee, WI
National Provider Identifier
1780169433
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8351-125 Issued in WI
Practice address
10012 W Capitol Dr
Milwaukee, WI 53222-1338
Phone
(414) 810-4844
Fax
(414) 810-4845
NPI assigned
Sep 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 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 16538-131 WI
Mental Health Counselor 101YM0800X 8351-125 WI Primary

Addresses

Primary practice location

10012 W Capitol Dr
Milwaukee, WI 53222-1338

Mailing address

2771A N Bremen St
Milwaukee, WI 53212-2605
Phone (414) 316-8284

Other practice location 1

2771A N Bremen St
Milwaukee, WI 53212-2605
Phone (414) 316-8284

Other practice location 2

1400 75th St
Kenosha, WI 53143-1544
Phone (262) 909-6008

Other identifiers 1

IdentifierTypeStateIssuer
100091040MedicaidWI

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
I20240228001814 WI Practitioner - Mental Health Counselor 9638514797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Grove Clinic SCGroup PAC ID 2264476688, 15 clinicians

Practice addresses (Care Compare)

10012 W Capitol Dr
Milwaukee, WI 53222-1338
Phone (414) 810-4844

1400 75TH St
Kenosha, WI 53143-1544
Phone (414) 810-4844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16538-131WIMDAddiction (Substance Use Disorder) Counselor
8351-125WIMDProfessional Counselor

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": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1780169433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2771A N BREMEN ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122605",
            "telephone_number": "414-316-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10012 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221338",
            "telephone_number": "414-810-4844",
            "fax_number": "414-810-4845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2771A N Bremen St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532122605",
            "country_code": "US",
            "telephone_number": "414-316-8284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 75th St",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531431544",
            "country_code": "US",
            "telephone_number": "262-909-6008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "LPC, SAC-IT, ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16538-131",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "8351-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100091040",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.