HEATHER TALLEY LPC
NPI 1346517281
Counselor - Professional in Glendale, WI

Active since November 21, 2011PECOS EnrolledAccepts Medicare Assignment
5650 N GREEN BAY AVE STE 205, GLENDALE, WI 53209(262) 999-3495 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 2, 2025, May 11, 2018 (2 updates tracked since 2018).

About Heather Talley Lpc NPPES

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

HEATHER TALLEY LPC (NPI 1346517281) is an individual professional provider in Glendale, Wisconsin, licensed in Wisconsin (5426-125) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brown Deer, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1346517281
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameHEATHER TALLEYCredential: LPC
Location Address5650 N GREEN BAY AVE STE 205Glendale, WI 53209-4446
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630 · (262) 999-3495
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 21, 2011
Last NPPES UpdateJune 2, 20252 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
NPI 1346517281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WI · 5426-125
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 15733-132 (WI)
5650 N GREEN BAY AVE STE 205, Glendale, WI 53209

Secondary Practice Location 1

Location 13900 W Brown Deer Rd Ste 200Brown Deer, WI 53209-1220 · Phone (414) 540-2170 · Fax (414) 540-2171

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Heather Talley Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022522333
PECOS Enrollment IDI20250709001707
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

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

Counselor (Professional)
5650 N GREEN BAY AVE STE 205
GLENDALE, WI 53209
Counselor (Professional)
5650 N GREEN BAY AVE STE 205
GLENDALE, WI 53209
Counselor (Professional)
5650 N GREEN BAY AVE STE 205
GLENDALE, WI 53209
Social Worker (Clinical)
5650 N GREEN BAY AVE STE 205
GLENDALE, WI 53209
Counselor (Professional)
5650 N GREEN BAY AVE STE 205
GLENDALE, WI 53209
Social Worker (Clinical)
5650 N GREEN BAY AVE STE 205
GLENDALE, WI 53209
Psychologist (Clinical)
5650 N GREEN BAY AVE STE 205
GLENDALE, WI 53209
Counselor (Professional)
5650 N GREEN BAY AVE STE 205
GLENDALE, WI 53209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346517281, enumerated as an "individual" on November 21, 2011.

The provider is located at 5650 N GREEN BAY AVE STE 205 GLENDALE, WI 53209 and the phone number is (262) 999-3495.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource. Please consult your insurance carrier or call the provider to verify.