MB Counseling Center of West Bend, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

646-123 Issued in WI

Legal business name

MB COUNSELING CENTER OF WEST BEND, LLC

Practice address

305 N 7TH Ave
West Bend, WI 53095-3268

Phone

(262) 388-7323

NPI assigned

Mar 24, 2017

Last updated

Mar 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Michelle Bingen, LCSWNPI 1245330307

Title

Director/Psychotherapist

Phone

(262) 388-7323

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Lynn Bingen, LCSW

  • Social Worker
  • West Bend, WI
  • NPI 1245330307
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1881125458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 WILDLIFE DR",
            "city": "ALLENTON",
            "state": "WI",
            "postal_code": "530029525",
            "telephone_number": "262-388-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N 7TH AVE",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953268",
            "telephone_number": "262-388-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB COUNSELING CENTER OF WEST BEND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "BINGEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "262-388-7323",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "646-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39793000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Kathleen Maser, RN
• Betty L Mayer, PT
• Mayville Family Practice LLC
• Kerrie Marie Mazeika, MSW, LCSW
• Douglas Mazur, MS PT
• Emily McCabe
• Andrea L McCarthy, P.T.
• Rachel McCauley, NP
• McCormack Chiropractic SC
• Michelle Lee McCormack, DC

• Mental Health Counselor in West Bend, WI
• Providers in West Bend, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.