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: July 19, 2026.

  • Individual
  • Female
  • Counselor
  • Professional

About MARICA TIPTON

This page provides the complete NPI Profile along with additional information for Marica Tipton, a provider established in Brookfield, Wisconsin with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1467612168 assigned on June 2008. The practitioner's primary taxonomy code is 101YP2500X with license number 4775-125 (WI). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1467612168 Verify this NPI
Provider Name
DR. MARICA SHAVA TIPTON PH.D.
Other Name
DR. MARICA SHAVA WILLSON-TIPTON PH.D.
Other Name Type
Professional Name (2)
Gender
Female
Entity Type
Individual
Location Address
2125 DERRIN LN BROOKFIELD, WI 53045
Location Phone
(414) 297-7745
Location Fax
(262) 641-9768
Mailing Address
2125 DERRIN LN BROOKFIELD, WI 53045
Mailing Phone
(414) 297-7745
Mailing Fax
(262) 641-9768
Is Sole Proprietor?
No
Enumeration Date
06-16-2008
Last Update Date
10-18-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
4775-125
License State
WI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
43715200MEDICAID (05)WI 

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467612168, enumerated as an "individual" on June 16, 2008.

The provider is located at 2125 DERRIN LN BROOKFIELD, WI 53045 and the phone number is (414) 297-7745.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.