Christian Life Counseling LLC
NPI 1659466860ActiveOrganization· Psychologist, Clinical· Brookfield, WI
Psychologist, Clinical in Brookfield, Wisconsin, registered in NPPES in October 2006. The authorized official on file is Jennifer Mengo, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1659466860 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 4, 2006 |
| Last updated in NPPES | Apr 26, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
| Marriage & Family Therapist | 106H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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