Individual provider Active NPI

Maria Lyn Valentine, LPC

  • Professional Counselor
  • Mequon, WI
National Provider Identifier
1962135285
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11122-125 Issued in WI
Practice address
11518 N Port Washington Rd Ste 202
Mequon, WI 53092-3443
Phone
(253) 328-7760
NPI assigned
Jul 5, 2022
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 113992 IA
Professional Counselor 101YP2500X 11122-125 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 (253) 328-7760

Other practice location 1

4922 Columbia Rd
Cedarburg, WI 53012-9188
Phone (262) 376-7774 ext. 128

Other practice location 2

1630 42nd St NE Ste F
Cedar Rapids, IA 52402-3063
Phone (319) 774-2849

Other names 1

  • Maria Lyn Wiedenkeller Former name

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
I20250106001686 WI Practitioner - Mental Health Counselor 0143758037 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113992IAMDMental Health Counselor
11122-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Services, Inc Mental Health CurrentSince Dec 1, 2024 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

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

11649 N Port Washington Rd
Ste 201
Mequon, WI 53092
Phone 2627891191362

11649 N Port Washington Rd
Ste 221
Mequon, WI 53092
Phone (262) 912-1922

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

Organizations & group practices 1

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": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1962135285",
    "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": "253-328-7760"
        },
        {
            "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": "253-328-7760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4922 Columbia Rd",
            "address_purpose": "LOCATION",
            "city": "Cedarburg",
            "state": "WI",
            "postal_code": "530129188",
            "country_code": "US",
            "telephone_number": "262-376-7774 x128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 42nd St NE Ste F",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524023063",
            "country_code": "US",
            "telephone_number": "319-774-2849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "MARIA",
        "middle_name": "LYN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "113992",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "11122-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "WIEDENKELLER",
            "middle_name": "LYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mequon, WI

Sources for this page

Verify at the official NPI Registry.