Kelly Jo Loesch, MT-BC, WMTR

Primary specialty

Music TherapistTaxonomy code 225A00000X

License

82-38 Issued in WI

Practice address

1125 James Dr
Hartland, WI 53029-8310

Phone

(262) 367-6663

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Music Therapy Services of Waukesha County, LLC

  • Clinic/Center
  • Hartland, WI
  • NPI 1669566832
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003026121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W156N10531 JEFFERSON LN",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530224123",
            "telephone_number": "414-651-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 JAMES DR",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530298310",
            "telephone_number": "262-367-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOESCH",
        "first_name": "KELLY",
        "middle_name": "JO",
        "credential": "MT-BC, WMTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "WI",
            "license": "82-38",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant A Lemke, DDS
• Lending Hands Healthcare LLC
• John C Lesniak, M.D.
• Lifespan Psychotherapy
• Jonathan Romeo Lo, D.C.
• Benjamin Alan Luczak, D.C.
• Bridget Ann Lutz, B.A., R.N.
• Erin Lynn Malone, MS, CRC, LPC, SAC
• Konstantina Nicole Marlis
• Chelsea L Matley, RN, CCP

• Music Therapist in Hartland, WI
• Providers in Hartland, WI by specialty
• Music Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.