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CHRISTIAN LIFE COUNSELING
NPI 1659466860
Psychologist - Clinical in Brookfield, WI

Active since October 04, 2006
12630 W NORTH AVE BLDG E, BROOKFIELD, WI 53005(262) 785-1008(262) 462-3187 Get Directions Write a Review

NPPES record last updated: April 26, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Christian Life Counseling NPPES

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

CHRISTIAN LIFE COUNSELING (NPI 1659466860) is a healthcare organization registered as a clinical in Brookfield, Wisconsin and active in the NPI registry since October 2006. The organization maintains a secondary practice location in Germantown and lists Jennifer Mengo, Administrator, as its authorized official.

NPPES Registry Identity

NPI1659466860
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameCHRISTIAN LIFE COUNSELING LLC
Location Address12630 W NORTH AVE BLDG EBrookfield, WI 53005-4626
Mailing Address12630 W North Ave Bldg EBrookfield, WI 53005-4626 · (262) 785-1008 · Fax (262) 462-3187
Phone(262) 785-1008
Fax(262) 462-3187
Organization SubpartNo
Authorized OfficialJennifer MengoAdministrator · (262) 785-1008
Enumeration DateOctober 4, 2006
Last NPPES UpdateApril 26, 2018
✔ NPI 1659466860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
12630 W NORTH AVE BLDG E, Brookfield, WI 53005
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Other Names 1

Doing Business AsChristian Life Counseling

Secondary Practice Location 1

Location 1W175N11163 Stonewood Dr Ste 202Germantown, WI 53022-6502 · Phone (262) 785-1008 · Fax (262) 462-3187

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 MULTIPLE 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)

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

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Christian Life Counseling, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Mental Health Counselor7
Clinical Social Worker4
Clinical Psychologist1

Clinicians, nearest first (12)

Rebecca Breitrick, LPC
Mental Health Counselor
NPI 1477069458
12630 W NORTH AVE BLDG E
Brookfield, WI 53005
(262) 785-1008
✔ PECOS✔ Accepts MedicareSame address
Alison Jacobs
Mental Health Counselor
NPI 1619352184
12630 W NORTH AVE BLDG E
Brookfield, WI 53005
(262) 785-1008
✔ PECOS✔ Accepts MedicareSame address
Judith Otto, LCSW
Clinical Social Worker
NPI 1982611265
12630 W NORTH AVE BLDG E
Brookfield, WI 53005
(262) 785-1008
✔ PECOS✔ Accepts MedicareSame address
Michael Schachtner
Clinical Social Worker
NPI 1447769039
12630 W NORTH AVE BLDG E
Brookfield, WI 53005
(262) 785-1008
✔ PECOS✔ Accepts MedicareSame address
Linda Zacharias, APSW
Clinical Social Worker
NPI 1134264369
12630 W NORTH AVE BLDG E
Brookfield, WI 53005
(262) 785-1008
✔ PECOS✔ Accepts MedicareSame address
Sarah Fesser, LPC
Mental Health Counselor
NPI 1669876868
12630 W NORTH AVE BLDG E
Brookfield, WI 53005
(262) 785-1008
✔ PECOSSame address
Cedric Hoard, LPC
Mental Health Counselor
NPI 1497261341
12630 W NORTH AVE
Brookfield, WI 53005
(262) 785-1008
✔ PECOS✔ Accepts MedicareSame address
Tanya Gerhard, LCSW
Clinical Social Worker
NPI 1366459646
12690 W NORTH AVE
Brookfield, WI 53005
(262) 785-1008
✔ PECOS✔ Accepts MedicareSame address
Trisha Frederick, M.S.
Mental Health Counselor
NPI 1487947578
12690 W. NORTH AVE. BUILDING C
Brookfield, WI 53005
(262) 785-1008
✔ PECOS✔ Accepts MedicareSame address
Eric Seybold, PHD
Clinical Psychologist
NPI 1427002211
12690 W NORTH AVE
Brookfield, WI 53005
(262) 785-1008
✔ PECOS✔ Accepts MedicareSame address
Emily Olson, LPC
Mental Health Counselor
NPI 1023632635
17100 W NORTH AVE STE 300
Brookfield, WI 53005
(262) 999-3495
✔ PECOS✔ Accepts Medicare2.8 mi
Monika Zoeller-Wiese, LPC
Mental Health Counselor
NPI 1861135360
W178N9912 RIVERCREST DR STE 104
Germantown, WI 53022
(262) 214-0358
✔ PECOS✔ Accepts Medicare9.9 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 Christian Life Counseling LLC's NPI number?

The NPI number for Christian Life Counseling LLC is 1659466860. It was assigned to this organization in the NPPES registry on October 4, 2006. The provider is doing business as Christian Life Counseling.

Where is Christian Life Counseling LLC located?

Christian Life Counseling LLC is located at 12630 W North Ave Bldg E, Brookfield, WI 53005. The listed phone number is (262) 785-1008.

What is Christian Life Counseling LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Christian Life Counseling LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Christian Life Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Christian Life 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. The largest specialties are Mental Health Counselor (7), Clinical Social Worker (4) and Clinical Psychologist (1). Of these, 10 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Christian Life Counseling LLC was last updated on April 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.