Active NPI
Maria Lyn Valentine, LPC
- Professional Counselor
- Mequon, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 11122-125
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113992 | IA | MD | Mental Health Counselor |
| 11122-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Counseling Services, Inc | Mental Health | Current | 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.
-
dba LifeStance Health
- Mental Health Counselor
- Brookfield, WI
- NPI 1033127246
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.