Individual provider Active NPI

Marisabel Trujillo, LPC

  • Mental Health Counselor
  • Milwaukee, WI
National Provider Identifier
1851172456
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12322-125 Issued in WI
Practice address
2021 N 60TH St
Milwaukee, WI 53208-1641
Phone
(414) 771-2881
Fax
(414) 771-1674
NPI assigned
Oct 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12322-125 WI Primary

Addresses

Primary practice location

2021 N 60TH St
Milwaukee, WI 53208-1641

Mailing address

3501 S Lake Dr
St Francis, WI 53235-0900
Phone (414) 769-3400

Other identifiers 1

IdentifierTypeStateIssuer
100255735MedicaidWI

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
I20260612000736 WI Practitioner - Mental Health Counselor 1759853567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1317 W Scott St
Milwaukee, WI 53204-2232

8910 W Denver Ave
Milwaukee, WI 53224-4868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12322-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of the Archdiocese of Milwaukee Inc PastSince Oct 15, 2023 Accepting new patients
Catholic Charities of the Archdiocese of Milwaukee Inc PastSince Oct 15, 2023 Accepting new patients
Catholic Charities of the Archdiocese of Milwaukee Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1851172456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 S LAKE DR",
            "city": "ST FRANCIS",
            "state": "WI",
            "postal_code": "532350900",
            "telephone_number": "414-769-3400",
            "fax_number": "262-637-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N 60TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532081641",
            "telephone_number": "414-771-2881",
            "fax_number": "414-771-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "MARISABEL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "12322-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100255735",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.