DR. MARICA SHAVA TIPTON PH.D.
NPI 1467612168
Counselor - Professional in Brookfield, WI

Active since June 16, 2008
2125 DERRIN LN, BROOKFIELD, WI 53045(414) 297-7745(262) 641-9768 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Marica Shava Tipton Ph.d. NPPES

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

DR. MARICA SHAVA TIPTON PH.D. (NPI 1467612168) is an individual professional provider in Brookfield, Wisconsin, licensed in Wisconsin (4775-125) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1467612168
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. MARICA SHAVA TIPTONCredential: PH.D.
Location Address2125 DERRIN LNBrookfield, WI 53045-2151
Mailing Address2125 Derrin LnBrookfield, WI 53045-2151 · (414) 297-7745 · Fax (262) 641-9768
Fax(262) 641-9768
Sole ProprietorNo
Enumeration DateJune 16, 2008
Last NPPES UpdateOctober 18, 2023
NPPES CertifiedOctober 18, 2023
NPI 1467612168 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 · 4775-125
2125 DERRIN LN, Brookfield, WI 53045

Other Names 1

Professional Name (2)Dr. Marica Shava Willson-tipton Ph.d.

Other Identifiers 1

Medicaid43715200WI

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
2125 DERRIN LN
BROOKFIELD, WI 53045
Community/Behavioral Health
2125 DERRIN LN
BROOKFIELD, WI 53045

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 Marica Tipton's NPI number?

The NPI number for Marica Tipton is 1467612168. It was assigned to this individual provider in the NPPES registry on June 16, 2008. The provider is also known as Dr. Marica Shava Willson-Tipton Ph.D..

Where is Marica Tipton located?

Marica Tipton practices at 2125 Derrin Ln, Brookfield, WI 53045. The listed phone number is (414) 297-7745.

What is Marica Tipton'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 Marica Tipton was last updated on October 18, 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.