Mary Muhammad, LPC, CSAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6631-125 Issued in WI

Practice address

121 E Silver Spring Dr Ste 202
Whitefish Bay, WI 53217-4762

Phone

(262) 292-1018

NPI assigned

Dec 23, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Mary Rodgers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marymuhammad@tdh.allscriptsdirect.net

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.

• Longevity Community Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Whitefish Bay, WI
  • NPI 1083568570
  NPD Authorized official
• Muhammad Family Services

  • Community/Behavioral Health Agency
  • Milwaukee, WI
  • NPI 1134884968

  Professional

  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Counselor

  NPD

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1922496066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E SILVER SPRING DR STE 202",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "532174762",
            "telephone_number": "262-292-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E SILVER SPRING DR STE 202",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "532174762",
            "telephone_number": "262-292-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHAMMAD",
        "first_name": "MARY",
        "credential": "LPC, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-23",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "6631-125",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17350-130",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "RODGERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mindara Modern Psychiatry LLC
• Iliana Monarrez, MSW
• Jordan A Moore, MD
• David Moss, M.D.
• Mrs Little Adult Famiily Home
• Paul C. Muhammad, LPC-IT, SAC-IT
• Tiffany Mullen, DO
• Lisa Murrenus
• Kathryn Nast Picciolo, R.D., C.D.
• Tyler Nault, PT, DPT

• All providers in Whitefish Bay, WI
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.