Michael Leo Wallner, M.S., LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3935-125 Issued in WI

Practice address

6040 W Lisbon Ave Ste 103
Milwaukee, WI 53210-2116

Phone

(414) 442-1751

Fax

(414) 442-1775

NPI assigned

Mar 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Forward Choices, LLC

  • Mental Health Counselor
  • Milwaukee, WI
  • NPI 1275791485
  NPD Authorized official

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1861521403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N HINE AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531884316",
            "telephone_number": "414-659-1194",
            "fax_number": "414-442-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 W LISBON AVE STE 103",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102116",
            "telephone_number": "414-442-1751",
            "fax_number": "414-442-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLNER",
        "first_name": "MICHAEL",
        "middle_name": "LEO",
        "name_prefix": "Mr.",
        "credential": "M.S., LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3935-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43703400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Wallace
• Veronica Wallace
• Jacqueline Marie Wallenkamp, LPN
• Michael Waller
• Christine M Wallis, MS, RN, ACNS-BC
• Cathy Walls, PT
• La'Tonya Renae Walls, PHD
• Toya Lashun Walls, LPN
• Joel A Wallskog, MD
• Adrianne Walschinski, LPC

• Professional Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.