Individual provider Active NPI

Katherine Cousin, M.A., LPC, LMHC

  • Mental Health Counselor
  • Fitchburg, WI
National Provider Identifier
1003214172
Registry record updated Oct 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2935 S Fish Hatchery Rd Ste 334
Fitchburg, WI 53711-6434
Phone
(608) 469-6271
NPI assigned
Dec 5, 2014
Last updated
Oct 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2935 S Fish Hatchery Rd Ste 334
Fitchburg, WI 53711-6434

Mailing address

2935 S Fish Hatchery Rd Ste 334
Fitchburg, WI 53711-6434
Phone (608) 469-6271

Other practice location 1

14 Fordham Rd
Boston, MA 02134-3006
Phone (617) 782-6460

Other practice location 2

619 River St
Suite F
Belleville, WI 53508-9188
Phone (608) 424-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Psychotherapy LLC Mental Health CurrentSince Oct 8, 2023 Accepting new patients
Foundations Counseling Center, Inc. Mental Health Past Accepting new patients

Locations

2935 S Fish Hatchery Rd
Ste 334
Fitchburg, WI 53711
Phone (608) 469-6271

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696723200000",
    "number": "1003214172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 S FISH HATCHERY RD STE 334",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537116434",
            "telephone_number": "608-469-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 S FISH HATCHERY RD STE 334",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537116434",
            "telephone_number": "608-469-6271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Fordham Rd",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021343006",
            "country_code": "US",
            "telephone_number": "617-782-6460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "619 River St",
            "address_2": "Suite F",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "WI",
            "postal_code": "535089188",
            "country_code": "US",
            "telephone_number": "608-424-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUSIN",
        "first_name": "KATHERINE",
        "credential": "M.A., LPC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-05",
        "last_updated": "2023-10-08",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2023; 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.