Kim Lagro Counseling Services,LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KIM LAGRO COUNSELING SERVICES,LLC

Practice address

2207 E 5TH St
Superior, WI 54880-3780

Phone

(715) 256-8907

Fax

(715) 256-8906

NPI assigned

Jun 3, 2021

Organization subpart

No

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

Authorized official

Name

Kim Louise Lagro, LICSW/ LCSWNPI 1790289056

Title

Owner

Phone

(715) 256-8907

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim Louise Lagro, LICSW

  • Clinical Social Worker
  • Duluth, MN
  • NPI 1790289056

  WI

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644105600000",
    "number": "1023684552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4099 E LEGGATE RD",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548808347",
            "telephone_number": "715-817-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 E 5TH ST",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548803780",
            "telephone_number": "715-256-8907",
            "fax_number": "715-256-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM LAGRO COUNSELING SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2022-02-06",
        "certification_date": "2022-02-06",
        "status": "A",
        "authorized_official_last_name": "LAGRO",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-256-8907",
        "authorized_official_credential": "LICSW/ LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Kelly
• Stacy Ann Kennelly, MA PT
• Tristan Kerfeld
• Jason Kerska, PHARM. D
• Jon M Kiehl, HIS
• Kintop Inc
• Christina Marie Kintop, D.C.
• Thomas Myron Kintop, D.C.
• David James Kirby, MD
• Joseph Walter Knotts, SACIT

• Clinical Social Worker in Superior, WI
• Providers in Superior, 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 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.