1. Home
  2. Directory
  3. Wisconsin
  4. Milwaukee
  5. Counselor
  6. NPI Profile

MIKAYLA TIDEMANN LPC
NPI 1790441665
Counselor - Mental Health in Milwaukee, WI

Active since November 15, 2021
620 S 76TH ST, MILWAUKEE, WI 53214(414) 292-4242(414) 453-2538 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2026, Mar 21, 2023, Aug 3, 2022 and 1 more (4 updates tracked since 2021).

About Mikayla Tidemann Lpc NPPES

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

MIKAYLA TIDEMANN LPC (NPI 1790441665) is an individual mental health provider in Milwaukee, Wisconsin, licensed in Wisconsin (10312-125) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1790441665
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMIKAYLA TIDEMANNCredential: LPC
Location Address620 S 76TH STMilwaukee, WI 53214-1599
Mailing Address620 S 76th StMilwaukee, WI 53214-1599 · (414) 292-4242 · Fax (414) 453-2538
Phone(414) 292-4242
Fax(414) 453-2538
Sole ProprietorNo
Enumeration DateNovember 15, 2021
Last NPPES UpdateApril 22, 20264 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1790441665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 10312-125
620 S 76TH ST, Milwaukee, WI 53214
Open in Google Maps ↗

Other Names 1

Former Name (1)Mikayla Jost Lpc

Other Identifiers 1

Medicaid1790441665WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

ALYSSA NICOLE ECKMAN MS, LPC
Counselor (Professional)
620 S 76TH ST
MILWAUKEE, WI 53214
Milwaukee County (414) 292-4242
ALLYSSA MARIE JONES LCSW
Social Worker (Clinical)
620 S 76TH ST
MILWAUKEE, WI 53214
Milwaukee County (414) 453-1400
KEVIN P O'BRIEN LCSW, LMFT
Social Worker (Clinical)
620 S 76TH ST
MILWAUKEE, WI 53214
Milwaukee County (414) 453-1400
DR. ELDON J SWENSON M.D.
General Practice
620 S 76TH ST, SUITE 240
MILWAUKEE, WI 53214
Milwaukee County (414) 988-6350
ANDREW LAURIC LPC
Counselor (Mental Health)
620 S 76TH ST
MILWAUKEE, WI 53214
Milwaukee County (414) 453-1400
CHILDREN'S SERVICE SOCIETY OF WISCONSIN
Social Worker (Clinical)
620 S 76TH ST, SUITE 120
MILWAUKEE, WI 53214
Milwaukee County (414) 453-1400
TRICIA M KRIPPEL LPC, MFT-IT
Counselor (Professional)
620 S 76TH ST
MILWAUKEE, WI 53214
Milwaukee County (414) 453-1400
JONATHON JAGOW LPC
Counselor (Professional)
620 S 76TH ST
MILWAUKEE, WI 53214
Milwaukee County (414) 292-4242

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 Mikayla Tidemann's NPI number?

The NPI number for Mikayla Tidemann is 1790441665. It was assigned to this individual provider in the NPPES registry on November 15, 2021. The provider is also known as Mikayla Jost Lpc.

Where is Mikayla Tidemann located?

Mikayla Tidemann practices at 620 S 76th St, Milwaukee, WI 53214. The listed phone number is (414) 292-4242.

What is Mikayla Tidemann's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Mikayla Tidemann accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Medica and 2 other insurers list Mikayla Tidemann as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mikayla Tidemann was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.