Katlyn Becker
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Onalaska, WI
NPI 1043843048 · NPPES record last updated Feb 18, 2020
Key facts
- NPI
- 1043843048
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 19120130 (WI)
- Practice address
- 9532 E 16 Frontage Rd
Onalaska, WI 54650-6739 - Phone
- (608) 783-0506
- NPI assigned
- Feb 18, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19120130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19120130 | WI | Yes |
Addresses
Primary practice location
9532 E 16 Frontage Rd
Onalaska, WI 54650-6739
Mailing address
9532 E 16 Frontage Rd
Onalaska, WI 54650-6739
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003150004 | Medicaid | WI |
Other providers in Onalaska, WI
- William Baumgardner
- Katie Lyn Beahm
- Mark R Beahm
- Shanti Beard
- Alexa V Becherer
- Savana M Becker
- Joanne Beitlich
- Benjamin W. Erlandson D.C., S.C.
- Craig S Bennett
- Ashley Anne Benson
All providers in Onalaska, WI · Addiction (Substance Use Disorder) Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.