Individual provider Active NPI

Margaret I McClutchy, LPC

  • Professional Counselor
  • Port Washington, WI
National Provider Identifier
1801560313
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10752-125 Issued in WI
Practice address
1317 W Grand Ave Ste 6
Port Washington, WI 53074-2075
Phone
(262) 427-8905
Fax
(262) 395-4858
NPI assigned
Aug 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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 10752-125 WI Primary

Addresses

Primary practice location

1317 W Grand Ave Ste 6
Port Washington, WI 53074-2075

Mailing address

1317 W Grand Ave Ste 6
Port Washington, WI 53074-2075
Phone (262) 427-8905

Other practice location 1

N72W23210 Braddock Pl
Sussex, WI 53089-5710
Phone (414) 791-5357

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
I20250512002855 WI Practitioner - Mental Health Counselor 1557888617 Reassigns benefits to 2 organizations

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
Empyrean Ventures, IncGroup PAC ID 9537600382, 9 clinicians

Practice addresses (Care Compare)

N14W23777 Stone Ridge Dr
Suite 290
Waukesha, WI 53188-1140
Phone (414) 667-5809

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10752-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Empyrean Ventures Inc Professional CurrentSince Feb 28, 2025 Accepting new patients

Locations

N14W23777 Stone Ridge Dr
Ste 290
Waukesha, WI 53188
Phone (262) 716-7580

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1801560313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 W GRAND AVE STE 6",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530742075",
            "telephone_number": "262-427-8905",
            "fax_number": "262-395-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 W GRAND AVE STE 6",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530742075",
            "telephone_number": "262-427-8905",
            "fax_number": "262-395-4858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N72W23210 Braddock Pl",
            "address_purpose": "LOCATION",
            "city": "Sussex",
            "state": "WI",
            "postal_code": "530895710",
            "country_code": "US",
            "telephone_number": "414-791-5357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLUTCHY",
        "first_name": "MARGARET",
        "middle_name": "I",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10752-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, WI

Sources for this page

Verify at the official NPI Registry.