Individual provider · Type 1 NPI

Ellis E. Miscavage

Counselor · Brookfield, WI

NPI number 1497680938 Active

Practice location

3505 N 124th St
Brookfield, WI 53005-2489

Call (414) 431-4444 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X9089-226 (WI)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

25 other providers at this address

Other counselor providers in Brookfield

See all in Brookfield →

About NPI 1497680938

Ellis E. Miscavage's National Provider Identifier is 1497680938, issued on Jun 16, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Brookfield, WI. The record was last updated on Jun 16, 2026.