Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043685712 Individual Practitioner Female Practitioner

Courtney Stack

Counselor • Milwaukee, WI

Professional Overview & Biography Verified Profile Summary

Courtney Stack is a registered healthcare professional specializing in Counselor in Milwaukee, WI. Practice services are available at 210 W CAPITOL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

210 W Capitol Dr

Milwaukee, WI 532121123

Telephone 4147276320
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Milwaukee, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.6 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
114 Specialists

Practicing in Milwaukee, WI (872 Statewide)

Telehealth Adoption Rate
2.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-10-20
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WI 6859-125

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

36 Associated Practitioners
Julianne Voights , APSW

Social Worker - Clinical

NPI 1043031107
Brianne Nillissen Mah

Social Worker - Clinical

NPI 1053039735
Dr. Joanne Bloomstein , MD

Psychiatry & Neurology - Psychiatry

NPI 1063556256

Doctor of Medicine (M.D.)

Michelle Mckenna

Social Worker - Clinical

NPI 1063983294
Marie Tamanji , APNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1073963773

Advanced Practice Nurse Prescriber

Staci O'dell , APNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1083688295

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 20, 2022

Registered at 210 W CAPITOL DR, MILWAUKEE, WI 532121123 (Tel: 4147276320)

📍
Updated Business Mailing Address October 20, 2022

Registered at 1812 E HOWARD AVE, MILWAUKEE, WI 532074000 (Tel: 7084396893)

NPI Profile Active December 07, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 07, 2015

Registered at 5228 W FOND DU LAC AVE, MILWAUKEE, WI 532161346 (Tel: 4148719111)

📍
Updated Business Mailing Address December 07, 2015

Registered at 930A E HAMILTON ST, MILWAUKEE, WI 532021529 (Tel: 7084396893)

👤
Provider Name / Credentials Updated December 07, 2015

Recorded as COURTNEY STACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration December 07, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043685712
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2015
Last Update: October 20, 2022
Sole Proprietor: No

Mailing Address

1812 E Howard Ave

Milwaukee, WI 532074000

Phone: 7084396893

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.