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: August 02, 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
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

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

Other Providers at the Same Location NPPES 12

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))
12630 W NORTH AVE BLDG E
BROOKFIELD, WI 53005
Counselor (Professional)
12630 W NORTH AVE BLDG E
BROOKFIELD, WI 53005
Social Worker (Clinical)
12630 W NORTH AVE BLDG E
BROOKFIELD, WI 53005
Social Worker (Clinical)
12630 W NORTH AVE BLDG E
BROOKFIELD, WI 53005
Counselor (Mental Health)
12630 W NORTH AVE BLDG E
BROOKFIELD, WI 53005
Counselor (Mental Health)
12630 W NORTH AVE BLDG E
BROOKFIELD, WI 53005
Counselor (Professional)
12630 W NORTH AVE BLDG E
BROOKFIELD, WI 53005
Counselor (Professional)
12630 W NORTH AVE BLDG E
BROOKFIELD, WI 53005

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.

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.