Individual provider Active NPI

Stephen D Glover, LPC

  • Professional Counselor
  • Milwaukee, WI
National Provider Identifier
1821812272
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8678-125 Issued in WI
Practice address
4305 N 13TH St
Milwaukee, WI 53209-6938
Phone
(414) 607-2364
NPI assigned
Nov 12, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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 8678-125 WI Primary

Addresses

Primary practice location

4305 N 13TH St
Milwaukee, WI 53209-6938

Mailing address

4305 N 13TH St
Milwaukee, WI 53209-6938
Phone (414) 607-2364

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
I20250321002773 WI Practitioner - Mental Health Counselor 1456873108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Counseling Services IncGroup PAC ID 1456256023, 338 clinicians

Practice addresses (Care Compare)

5650 N Green Bay Ave
Suite 205
Glendale, WI 53209-4446
Phone (262) 789-1191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8678-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Services, Inc CurrentSince Apr 7, 2025 Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince May 16, 2025 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909

2923 Marketplace Dr
Ste 204
Fitchburg, WI 53719
Phone (608) 549-5781

10850 W Park Pl
Ste 100
Milwaukee, WI 53224
Phone (414) 361-4100

5650 N Green Bay Ave
Ste 205
Milwaukee, WI 53209
Phone (833) 314-1716

1143 Warwick Way
Racine, WI 53406
Phone (262) 321-0110

10150 W National Ave
Ste 370
West Allis, WI 53227
Phone (262) 782-2090

26422 Oakridge Dr
Ste 106
Wind Lake, WI 53185

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": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1821812272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 N 13TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532096938",
            "telephone_number": "414-607-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 N 13TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532096938",
            "telephone_number": "414-607-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "STEPHEN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-12",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8678-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.