MACKENZIE MOEBIUS – Mental Health Counselor, NPI 1053039776

MACKENZIE MOEBIUS is a healthcare provider. based in West allis, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for MACKENZIE MOEBIUS is 1053039776

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MACKENZIE MOEBIUS
NPI
1053039776
Phone
(414) 206-6700
Address
6737 W WASHINGTON ST STE 1300
Enumeration Date
18 August 2022
Last Update Date
18 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4143587144
Graduation Year
2023 (3 years ago)
PAC ID
4587151618
Group Practice PAC ID
9133171960
Professional Enrollment ID
I20251014001007
Address ID
WI532145636WE6737XSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

1,748 MENTAL HEALTH COUNSELOR in WI

Provider Addresses for MACKENZIE MOEBIUS

  • 6737 W WASHINGTON ST STE 1300

    WEST ALLIS, WI 532145636

    Phone: (414) 206-6700

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251014001007IMental Health CounselorWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53214)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133171960View full group profile
NameSpecialtyState
Mental Health CounselorWI
Mental Health CounselorWI
Clinical Social WorkerWI
Clinical Social WorkerWI
Mental Health CounselorWI
Mental Health CounselorWI
-WI
Mental Health CounselorWI

Reviews

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Frequently asked questions

How do I look up MACKENZIE MOEBIUS by NPI?
Use NPI 1053039776 when you need to reference MACKENZIE MOEBIUS in forms, claims, or directories.
Is MACKENZIE MOEBIUS currently active in the NPI registry?
CMS-published data lists MACKENZIE MOEBIUS as an active registrant.
What kind of provider is MACKENZIE MOEBIUS?
The page reflects Mental Health Counselor for MACKENZIE MOEBIUS. Clinical services aligned with this taxonomy classification.
What location metadata exists for MACKENZIE MOEBIUS?
The page summarizes West Allis, Wisconsin for MACKENZIE MOEBIUS; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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