Individual provider Active NPI

Kimberly Rose Schlomann, LPC, CSAC

  • Professional Counselor
  • Big Bend, WI
National Provider Identifier
1003438391
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7326 Issued in WI
Practice address
W227S10580 River Ave
Big Bend, WI 53103-9563
Phone
(262) 225-9271
NPI assigned
May 10, 2020
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16230 WI
Professional Counselor 101YP2500X 7326 WI Primary

Addresses

Primary practice location

W227S10580 River Ave
Big Bend, WI 53103-9563

Mailing address

W227S10580 River Ave
Big Bend, WI 53103-9563
Phone (262) 225-9271

Other identifiers 1

IdentifierTypeStateIssuer
7326MedicaidWI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240202003667 WI Practitioner - Mental Health Counselor 6507209822 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evidence-Based Counseling Solutions LLCGroup PAC ID 4284163965, 6 clinicians

Practice addresses (Care Compare)

15350 W National Ave
Suite 108
New Berlin, WI 53151-5158
Phone (262) 249-6565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7326WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Services, Inc Addiction (Substance Use Disorder) CurrentSince Dec 20, 2023 Accepting new patients
Evidence-Based Counseling Solutions LLC Professional CurrentSince May 1, 2025 Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince Oct 29, 2025 Accepting new patients

Locations

16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909

2923 Marketplace Dr
Ste 204
Fitchburg, WI 53719
Phone (608) 549-5781

400 Bay View Rd
Ste C
Mukwonago, WI 53149
Phone (262) 458-9436

15350 W National Ave
Ste 108
New Berlin, WI 53151
Phone (262) 249-6565

26422 Oakridge Dr
Ste 106
Wind Lake, WI 53185

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.kimberlyschlomann@149809.advancedmd-direct.com

Organizations & group practices 3

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": "1589068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1003438391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W227S10580 RIVER AVE",
            "city": "BIG BEND",
            "state": "WI",
            "postal_code": "531039563",
            "telephone_number": "262-225-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W227S10580 RIVER AVE",
            "city": "BIG BEND",
            "state": "WI",
            "postal_code": "531039563",
            "telephone_number": "262-225-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLOMANN",
        "first_name": "KIMBERLY",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LPC, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-10",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16230",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7326",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Bend, WI

Sources for this page

Verify at the official NPI Registry.