MOMENTUM COUNSELING LLC
NPI 1639669864
Social Worker - Clinical in Racine, WI

Active since May 14, 2018

NPPES record last updated: February 25, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 25, 2019, May 14, 2018 (2 updates tracked since 2018).

About Momentum Counseling Llc NPPES

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

MOMENTUM COUNSELING LLC (NPI 1639669864) is a healthcare organization registered as a clinical in Racine, Wisconsin and active in the NPI registry since May 2018. The organization maintains a secondary practice location in Racine and lists Lakeisha Monique Woods, Owner, as its authorized official.

NPPES Registry Identity

NPI1639669864
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMOMENTUM COUNSELING LLC
Location Address927 MAIN STRacine, WI 53403-1524
Mailing Address4815 Conlaine DrRacine, WI 53402-2557 · (262) 995-0722
Organization SubpartNo
Authorized OfficialLakeisha Monique WoodsOwner · (262) 995-0722
Enumeration DateMay 14, 2018
Last NPPES UpdateFebruary 25, 20192 updates tracked since enumeration
✔ NPI 1639669864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 8711-123
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
927 MAIN ST, Racine, WI 53403

Secondary Practice Location 1

Location 14815 Conlaine DrRacine, WI 53402 · Phone (262) 995-0722

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Momentum Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Momentum Counseling LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1285169276
159 ACADEMY DR
Springhill, LA 71075
(262) 770-5184
✔ PECOS✔ Accepts Medicare739 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Momentum Counseling LLC's NPI number?

The NPI number for Momentum Counseling LLC is 1639669864. It was assigned to this organization in the NPPES registry on May 14, 2018.

Where is Momentum Counseling LLC located?

Momentum Counseling LLC is located at 927 Main St, Racine, WI 53403. The listed phone number is (262) 770-5184.

What is Momentum Counseling LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Momentum Counseling LLC enrolled in Medicare?

Yes. Momentum Counseling LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Momentum Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Momentum Counseling LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Momentum Counseling LLC was last updated on February 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.