Individual provider Active NPI

Erick M Muhlenbeck, LPC, CSAC, ICS

  • Professional Counselor
  • Port Washington, WI
National Provider Identifier
1902349194
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7355-125 Issued in WI
Practice address
1317 W Grand Ave Ste 5
Port Washington, WI 53074-2075
Phone
(262) 323-6963
NPI assigned
Nov 21, 2016
Last updated
Jul 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16210-132 WI
Professional Counselor 101YP2500X 7355-125 WI Primary

Addresses

Primary practice location

1317 W Grand Ave Ste 5
Port Washington, WI 53074-2075

Mailing address

1317 W Grand Ave Ste 5
Port Washington, WI 53074-2075

Other identifiers 1

IdentifierTypeStateIssuer
1902349194MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erick.muhlenbeck@ascension.org

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
I20231227002068 WI Practitioner - Mental Health Counselor 8820448202 Reassigns benefits to 1 organization

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)

1317 W Grand Ave
Suite 6
Port Washington, WI 53074-2075
Phone (262) 999-3495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16210-132WIMDAddiction (Substance Use Disorder) Counselor
7355-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Services, Inc Addiction (Substance Use Disorder) CurrentSince Feb 2, 2026 Accepting new patients
Quality Addiction Management Inc Past Accepting new patients
Quality Addiction Management Inc Addiction (Substance Use Disorder) Past Accepting new patients

Locations

1317 W Grand Ave
Ste 6
Prt Washingtn, WI 53074
Phone (262) 284-8800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1902349194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 W GRAND AVE STE 5",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530742075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 W GRAND AVE STE 5",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530742075",
            "telephone_number": "262-323-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHLENBECK",
        "first_name": "ERICK",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LPC, CSAC, ICS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-21",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16210-132",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7355-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902349194",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erick.muhlenbeck@ascension.org",
            "affiliation": "N",
            "address_1": "1020 Kabel Ave",
            "city": "Rhinelander",
            "state": "WI",
            "country_code": "US",
            "postal_code": "545013918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Washington, WI

Sources for this page

Verify at the official NPI Registry.