Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mikayla Tidemann, LPC

Individual provider Mental Health Counselor · NPI 1790441665

Mikayla Tidemann, LPC is a Mental Health Counselor in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2021.

Licensed in
WI
In the registry since
2021
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

620 S 76th St
Milwaukee, WI 53214-1599
Phone: (414) 292-4242
Fax: (414) 453-2538
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 10312-125 (WI)

Record details

NPI number1790441665
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedNovember 15, 2021
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

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