Individual provider Active NPI

Michelle Brown, LPC-IT

  • Counselor
  • Brookfield, WI
National Provider Identifier
1780243501
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
8223-125 Issued in WI
Practice address
3505 N 124TH St
Brookfield, WI 53005-2489
Phone
(414) 431-4444
NPI assigned
Jun 6, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

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
8223-125WIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Options Counseling, LLC Professional PastSince Oct 9, 2022 Accepting new patients
Family Options Counseling Professional PastSince Oct 9, 2022 Accepting new patients
Wisemind Counseling and Consulting Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 8223-125 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

3505 N 124TH St
Brookfield, WI 53005-2489

Mailing address

270 E Highland Ave Apt 247
Milwaukee, WI 53202-6638
Phone (262) 707-9565

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 24, 2024.

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1780243501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E HIGHLAND AVE APT 247",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532026638",
            "telephone_number": "262-707-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 N 124TH ST",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052489",
            "telephone_number": "414-431-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MICHELLE",
        "credential": "LPC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "8223-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.