Individual provider Active NPI

Melissa Shi, LMFT NO. 1376-124

  • Marriage & Family Therapist
  • Milwaukee, WI
National Provider Identifier
1962061218
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1376-124 Issued in WI
Practice address
111 E Wisconsin Ave Ste 1500
Milwaukee, WI 53202-4808
Phone
(414) 328-1850
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1376124 WI
Marriage & Family Therapist 106H00000X 689-228 WI
Marriage & Family Therapist 106H00000X 1376-124 WI Primary

Addresses

Primary practice location

111 E Wisconsin Ave Ste 1500
Milwaukee, WI 53202-4808

Mailing address

111 E Wisconsin Ave Ste 1500
Milwaukee, WI 53202-4808
Phone (414) 328-1850

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
I20240219003579 WI Practitioner - Marriage and Family Therapist 1658715545 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1376124WIMDMarriage & Family Therapist
689-228WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Services, Inc CurrentSince Jan 3, 2024 Accepting new patients
Child & Family Therapeutic Systems S.C. Marriage & Family Therapist PastSince Oct 1, 2021 Accepting new patients

Locations

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

16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909

111 E Wisconsin Ave
Ste 1500
Milwaukee, WI 53202
Phone (253) 372-8662

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

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1962061218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E WISCONSIN AVE STE 1500",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024808",
            "telephone_number": "414-328-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E WISCONSIN AVE STE 1500",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024808",
            "telephone_number": "414-328-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHI",
        "first_name": "MELISSA",
        "credential": "LMFT NO. 1376-124",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1376124",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "689-228",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1376-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.