Healthcare Provider Details

I. General information

NPI: 1114535374
Provider Name (Legal Business Name): ERIN RENAI HERNIKL LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2020
Last Update Date: 09/27/2025
Certification Date: 09/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

741 N GRAND AVE STE 302
WAUKESHA WI
53186-4841
US

IV. Provider business mailing address

W180N4990 MARCY RD
MENOMONEE FALLS WI
53051-6518
US

V. Phone/Fax

Practice location:
  • Phone: 262-999-3495
  • Fax:
Mailing address:
  • Phone: 262-352-0190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number10102
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4679-226
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: