MR. MICHAEL LEO WALLNER (NPI# 1861521403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861521403 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL LEO WALLNER |
| Credential | M.S., LPC, NCC |
| Practice Address |
6040 W Lisbon Ave Ste 103 Milwaukee WI 53210-2116 |
| Mailing Address |
140 N Hine Ave Waukesha WI 53188-4316 |
| Practice Telephone | 4144421751 |
| Practice Fax Number | 4144421775 |
| Mailing Telephone | 4146591194 |
| Mailing Fax Number | 4144421775 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2011-11-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3935-125 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43703400 | 05 |
| Street Address |
6040 W LISBON AVE STE 103 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53210-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194333591 | Tiffany Marisa Benecky | Counselor | 6040 W Lisbon Ave Ste 103, Milwaukee, WI 53210-2116 | 2020-07-21 |
| 1821550393 | Katherine Elizabeth Buckwalter-hughes | Social Worker | 6040 W Lisbon Ave Ste 103, Milwaukee, WI 53210-2116 | 2019-04-03 |
| 1770060907 | Logan James Gill | Counselor | 6040 W Lisbon Ave Ste 103, Milwaukee, WI 53210-2116 | 2018-07-20 |
| 1093264350 | Daniel John Buehler | Counselor | 6040 W Lisbon Ave Ste 103, Milwaukee, WI 53210-2116 | 2016-09-28 |
| 1275791485 | Forward Choices, LLC | Counselor | 6040 W Lisbon Ave Ste 103, Milwaukee, WI 53210-2116 | 2008-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499514 | Mckenzie Lisa Lambeck | Non-emergency Medical Transport (VAN) | 3016a N 36th St, Milwaukee, WI 53210 | 2020-08-31 |
| 1922572312 | Walter's Second Chance of Milwaukee, LLC. | In Home Supportive Care | 3043 N. 29th Street, Milwaukee, WI 53210 | 2019-01-18 |
| 1407353469 | Angie F Caballero | Assisted Living Facility | 5918 N 62nd Street, Milwaukee, WI 53210 | 2018-04-06 |
| 1689182636 | Kimberly Casey | Counselor | 5325 W.burleigh, Milwaukee, WI 53210 | 2018-01-11 |
| 1336663640 | Daron Mosby | Counselor | 2643 N 55th St., 2643 N 55th St., Milwaukee, WI 53210 | 2017-07-28 |
| 1881117174 | Advance Home Care, LLC | In Home Supportive Care | 6001 W Center St Ste 98ll, Milwaukee, WI 53210 | 2017-07-19 |
| 1285181735 | Aurora Family Services | Clinic/Center | 3200 W. Highland Blvd, Aurora Family Services, Milwaukee, WI 53210 | 2016-09-01 |
| 1447625264 | Kimberly Beckham | Registered Nurse | 3040 N 40th Street, Milwaukee, WI 53210 | 2015-12-04 |
| 1033595319 | Wisconsin Lutheran Child & Family Service Inc. | Social Worker | 207 North Sherman Blvd, Milwaukee, WI 53210 | 2015-08-10 |
| 1346633112 | Quiana Davis | Licensed Practical Nurse | 2478 North 34th Street, Milwaukee, WI 53210 | 2015-03-18 |
| Find all providers in zip 53210 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508475963 | Anna Banwell | Counselor | 710 W Historic Mitchell St Apt 703, Milwaukee, WI 53204-3559 | 2020-07-30 |
| 1225658826 | Callie Barfield | Counselor | 9096 N Tennyson Dr, Milwaukee, WI 53217-1967 | 2020-04-23 |
| 1043849698 | Amanda Joann Degner | Counselor | 329 W National Ave Apt 2, Milwaukee, WI 53204-1702 | 2020-04-06 |
| 1467092320 | Christina Manolatos | Counselor | 3921 N Humboldt Blvd Apt 801, Milwaukee, WI 53212-1365 | 2020-01-08 |
| 1780235267 | Toni W Pharm | Counselor | 8018 W Capitol Dr Ste 206, Milwaukee, WI 53222-1906 | 2019-09-25 |
| 1407417983 | Damira Grady | Counselor | 11303 W Appleton Ln, Milwaukee, WI 53225-1200 | 2019-06-25 |
| 1265091664 | Drew David Dryssen | Counselor | 8800 W Bluemound Rd, Milwaukee, WI 53226-4626 | 2019-06-10 |
| 1013574409 | Patricia Michelle Carrington | Counselor | 1409 E Capitol Dr Ste 202, Milwaukee, WI 53211-1959 | 2019-05-22 |
| 1730647959 | Andrea Renee Zulkowski | Counselor | 3732 W Wisconsin Ave Ste 320, Milwaukee, WI 53208-3166 | 2019-03-06 |
| 1831662063 | Svenja Michela Rauchstaedt-schneider | Counselor | 5719 W Fountain Ave, Milwaukee, WI 53223-4227 | 2019-01-10 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.