Individual provider Active NPI

Monika Theresa Anna Zoeller-Wiese, LPC

  • Mental Health Counselor
  • Germantown, WI
National Provider Identifier
1861135360
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12074-125 Issued in WI
Practice address
W178N9912 Rivercrest Dr Ste 104
Germantown, WI 53022-4662
Phone
(262) 214-0358
NPI assigned
Apr 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 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 12074-125 WI Primary

Addresses

Primary practice location

W178N9912 Rivercrest Dr Ste 104
Germantown, WI 53022-4662

Mailing address

W178N9912 Rivercrest Dr Ste 104
Germantown, WI 53022-4662
Phone (262) 214-0358

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
I20251029003392 WI Practitioner - Mental Health Counselor 7214426352 Reassigns benefits to 1 organization

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
Christian Life Counseling LLCGroup PAC ID 8325046162, 10 clinicians

Practice addresses (Care Compare)

12630 W N Ave
Brookfield, WI 53005-4626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12074-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Life Counseling LLC Mental Health CurrentSince Oct 17, 2025 Accepting new patients
Tannenbaum Counseling Current Accepting new patients

Locations

12630 W North Ave
Bldg E
Brookfield, WI 53005
Phone (262) 785-1008

W178N9912 Rivercrest Dr
Ste 104
Germantown, WI 53022

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": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1861135360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W178N9912 RIVERCREST DR STE 104",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530224662",
            "telephone_number": "262-214-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W178N9912 RIVERCREST DR STE 104",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530224662",
            "telephone_number": "262-214-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOELLER-WIESE",
        "first_name": "MONIKA",
        "middle_name": "THERESA ANNA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "12074-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, WI

Sources for this page

Verify at the official NPI Registry.