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MARA TIBBALS
NPI 1104600774
Counselor - Professional in West Allis, WI

Active since August 23, 2023
10150 W NATIONAL AVE STE 390, WEST ALLIS, WI 53227(414) 545-4430 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mara Tibbals NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARA TIBBALS (NPI 1104600774) is an individual professional provider in West Allis, Wisconsin, licensed in Wisconsin (7480-226) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1104600774
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARA TIBBALS
Location Address10150 W NATIONAL AVE STE 390West Allis, WI 53227-2145
Mailing AddressW142n8220 Merrimac DrMenomonee Falls, WI 53051-3947 · (262) 853-4488
Phone(414) 545-4430
Sole ProprietorNo
Enumeration DateAugust 23, 2023
NPPES CertifiedAugust 23, 2023
✔ NPI 1104600774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 7480-226
10150 W NATIONAL AVE STE 390, West Allis, WI 53227
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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADELAINE J KUEHN
Counselor (Mental Health)
10150 W NATIONAL AVE STE 390
WEST ALLIS, WI 53227
Milwaukee County (414) 614-4161
KARA ELYSE HOMOLA COTA
Occupational Therapy Assistant
10150 W NATIONAL AVE STE 390
MILWAUKEE, WI 53227
Milwaukee County (414) 545-4430
SAMANTHA HURKMANS PSYD
Psychologist
10150 W NATIONAL AVE STE 390
MILWAUKEE, WI 53227
Milwaukee County (414) 545-4430
ZAHARRA BEYAH
Counselor (Mental Health)
10150 W NATIONAL AVE STE 390
WEST ALLIS, WI 53227
Milwaukee County (262) 251-1112
HAYLEY ISHIHARA MS, LPC-IT
Counselor (Mental Health)
10150 W NATIONAL AVE STE 390
WEST ALLIS, WI 53227
Milwaukee County (414) 323-5833
INTEGRATIVE PSYCHE, LLC
Psychologist (Clinical)
10150 W NATIONAL AVE STE 390
MILWAUKEE, WI 53227
Milwaukee County (414) 545-4430
KRISTOPHER KRYSA OTR
Occupational Therapist
10150 W NATIONAL AVE STE 390
MILWAUKEE, WI 53227
Milwaukee County (414) 545-4430
ANNE MARIE MUSTAFA LPC
Counselor (Professional)
10150 W NATIONAL AVE STE 390
MILWAUKEE, WI 53227
Milwaukee County (414) 545-4430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mara Tibbals's NPI number?

The NPI number for Mara Tibbals is 1104600774. It was assigned to this individual provider in the NPPES registry on August 23, 2023.

Where is Mara Tibbals located?

Mara Tibbals practices at 10150 W National Ave Ste 390, West Allis, WI 53227. The listed phone number is (414) 545-4430.

What is Mara Tibbals's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mara Tibbals was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.