Individual provider Active NPI

John Pitman, LCSW

  • Clinical Social Worker
  • Mequon, WI
National Provider Identifier
1942879663
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10089 Issued in WI
Practice address
11518 N Port Washington Rd Ste 202
Mequon, WI 53092-3443
Phone
(262) 999-3495
NPI assigned
Jun 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 132296 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X 19437 WI
Social Worker 104100000X 132296 WI
Clinical Social Worker 1041C0700X 10089 WI Primary

Addresses

Primary practice location

11518 N Port Washington Rd Ste 202
Mequon, WI 53092-3443

Mailing address

11518 N Port Washington Rd Ste 202
Mequon, WI 53092-3443
Phone (608) 213-9857

Other practice location 1

155 E Capitol Dr
Hartland, WI 53029-2134
Phone (262) 239-7880

Other practice location 2

17100 W North Ave Ste 300
Brookfield, WI 53005-4436
Phone (262) 999-3495

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://empowermentwithinllc.com/about-us/ Direct

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
I20241021000912 WI Practitioner - Clinical Social Worker 7911439542 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
132296WIMDMental Health Counselor
10089WIMDClinical Social Worker
19437WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Services, Inc Addiction (Substance Use Disorder) CurrentSince Aug 1, 2024 Accepting new patients
Knueppel Healthcare Services, Inc. Past Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

17100 W North Ave
Ste 300
Brookfield, WI 53005
Phone (262) 244-6177

11518 N Port Washington Rd
Ste 202
Mequon, WI 53092
Phone (262) 244-6177

1143 Warwick Way
Racine, WI 53406
Phone (262) 321-0110

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.johnpitman@149809.advancedmd-direct.com

Organizations & group practices 2

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": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1942879663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11518 N PORT WASHINGTON RD STE 202",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923443",
            "telephone_number": "608-213-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11518 N PORT WASHINGTON RD STE 202",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923443",
            "telephone_number": "262-999-3495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 E Capitol Dr",
            "address_purpose": "LOCATION",
            "city": "Hartland",
            "state": "WI",
            "postal_code": "530292134",
            "country_code": "US",
            "telephone_number": "262-239-7880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17100 W North Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530054436",
            "country_code": "US",
            "telephone_number": "262-999-3495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITMAN",
        "first_name": "JOHN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-18",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "132296",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "19437",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "132296",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "10089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://empowermentwithinllc.com/about-us/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "155 E Capitol Dr",
            "city": "Hartland",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530292134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

Verify at the official NPI Registry.