Refuge Counseling Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

REFUGE COUNSELING CENTER LLC

Practice address

1033 W College Ave
Appleton, WI 54914-5290

Phone

(920) 239-4400

Fax

(920) 532-1052

NPI assigned

Apr 17, 2026

Organization subpart

No

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

Authorized official

Name

Kim M Trudell, LCSWNPI 1174969976

Title

Owner

Phone

(920) 239-4400

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 Merle Trudell, LCSW, SAC

  • Clinical Social Worker
  • Appleton, WI
  • NPI 1174969976
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778889600000",
    "number": "1033053160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 SUND ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563908",
            "telephone_number": "920-239-4400",
            "fax_number": "920-532-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 W COLLEGE AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549145290",
            "telephone_number": "920-239-4400",
            "fax_number": "920-532-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFUGE COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-05-16",
        "certification_date": "2026-05-16",
        "status": "A",
        "authorized_official_last_name": "TRUDELL",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-239-4400",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Appleton, WI
• Providers in Appleton, 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 May 16, 2026; 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.