Kristen Emily Palmer

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

134 W Holum St
Deforest, WI 53532-1108

Phone

(608) 415-3908

Fax

(608) 350-1288

NPI assigned

Nov 21, 2018

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

Other names 1

• Kristen Emily Golat Former name

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Guided Solutions Therapy SCGroup PAC ID 4789039686, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Guided Solutions Therapy SC

  • Addiction (Substance Use Disorder) Counselor
  • Deforest, WI
  • NPI 1558977991

  Clinical

  Medicare reassignment Care Compare group NPD
• Pine Valley Residential Services

  • Mental Illness Community Based Residential Treatment Facility
  • Mauston, WI
  • NPI 1891126751
  NPD (past)

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1003385865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 W HOLUM ST",
            "city": "DEFOREST",
            "state": "WI",
            "postal_code": "535321108",
            "telephone_number": "608-620-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W HOLUM ST",
            "city": "DEFOREST",
            "state": "WI",
            "postal_code": "535321108",
            "telephone_number": "608-415-3908",
            "fax_number": "608-350-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "KRISTEN",
        "middle_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-21",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "GOLAT",
            "middle_name": "EMILY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Lynn Motiff
• Neuro Connections LLC
• Newlife Behavioral Health, LLC
• Taysheedra Noll, RN
• Haley Oosterhof
• Erika Paulson
• Peter A Pickhardt, MD
• Primecare Adult Family Home
• Barbara Purvis
• Relatyv Mobile Medical LLC

• Clinical Social Worker in Deforest, WI
• Providers in Deforest, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.