NPIMap

Organization Active NPI

M D Therapy LLC

  • Marriage & Family Therapist
  • Milwaukee, WI
National Provider Identifier
1811193675
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2225 Issued in WI
Legal business name
M D THERAPY LLC
Practice address
3118 N Teutonia Ave
Milwaukee, WI 53206-2264
Phone
(414) 264-6155
Fax
(414) 264-8288
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Thomas Michael Dale, LPCNPI 1255538740
Title
President
Phone
(414) 264-6155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 2225 WI
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 2225 WI Primary

Addresses

Primary practice location

3118 N Teutonia Ave
Milwaukee, WI 53206-2264

Mailing address

3118 N Teutonia Ave
Milwaukee, WI 53206-2264
Phone (414) 264-6155

Other identifiers 2

IdentifierTypeStateIssuer
HFS 61.91OtherWIMENTAL HEALTH-OUTPATIENT
HFS 75.13OtherWICSAS-OUTPATIENT TREATMENT

Other names 1

  • Directors of Continuation Services Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Directors of Continuation Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3118 N Teutonia Ave
Milwaukee, WI 53206
Phone (414) 264-6155

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1811193675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 N TEUTONIA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532062264",
            "telephone_number": "414-264-6155",
            "fax_number": "414-264-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 N TEUTONIA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532062264",
            "telephone_number": "414-264-6155",
            "fax_number": "414-264-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M D THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-264-6155",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "2225",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "2225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH-OUTPATIENT",
            "identifier": "HFS 61.91",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSAS-OUTPATIENT TREATMENT",
            "identifier": "HFS 75.13",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Directors of Continuation Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.