Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kadeitra Monteil Winters-Wallace, LPC

Individual provider Professional Counselor · NPI 1942607585

Kadeitra Monteil Winters-Wallace, LPC is a Mental Health Counselor in Milwaukee, Wisconsin. Qualified in 2012, 14 years ago. Works from 2 locations. Licensed in Wisconsin.

Years since qualifying
14
Licensed in
WI
In the registry since
2014
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

10150 W National Ave Ste 307
Milwaukee, WI 53227-2145
Phone: (414) 338-5578
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3236a N 3rd St, Milwaukee, WI 53212-2024 — (414) 739-6476

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 11279-125 (WI)

Record details

NPI number1942607585
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedNovember 25, 2014
Last updated in NPPESMarch 14, 2025
Certification dateMarch 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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