Individual provider Active NPI

Brooke Marie Miller, LPC, R-DMT

  • Professional Counselor
  • Milwaukee, WI
National Provider Identifier
1821695172
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10789-125 Issued in WI
Practice address
700 W Virginia St Ste 204
Milwaukee, WI 53204-1549
Phone
(414) 207-4565
Fax
(414) 348-0206
NPI assigned
Oct 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dance Therapist 225600000X 2399 WI
Professional Counselor 101YP2500X 10789-125 WI Primary

Addresses

Primary practice location

700 W Virginia St Ste 204
Milwaukee, WI 53204-1549

Mailing address

3202 N 52ND St
Milwaukee, WI 53216-3242
Phone (715) 892-2852

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
I20260115000040 WI Practitioner - Mental Health Counselor 6507342904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1001 W Glen Oaks LN
Suite 105
Mequon, WI 53092-3369

3202 N 52ND St
Milwaukee, WI 53216-3242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10789-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Art and Integrated Therapies Inc Professional CurrentSince Dec 15, 2025 Accepting new patients
Integrative Psyche, LLC PastSince Oct 1, 2020 Accepting new patients

Locations

1001 W Glen Oaks Ln
Ste 105
Mequon, WI 53092
Phone (414) 258-8314

700 W Virginia St
Ste 203
Milwaukee, WI 53204
Phone (414) 207-4565

700 W Virginia St
Ste 204
Milwaukee, WI 53204
Phone (414) 207-4565

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": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1821695172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 N 52ND ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163242",
            "telephone_number": "715-892-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W VIRGINIA ST STE 204",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532041549",
            "telephone_number": "414-207-4565",
            "fax_number": "414-348-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BROOKE",
        "middle_name": "MARIE",
        "credential": "LPC, R-DMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": "WI",
            "license": "2399",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10789-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.