Individual provider Active NPI

Katherine Sue Liaromatis, CSAC-130 166

  • Addiction (Substance Use Disorder) Counselor
  • West Bend, WI
National Provider Identifier
1053854778
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
16606-132 Issued in WI
Practice address
1622 Chestnut St
West Bend, WI 53095-3014
Phone
(262) 306-9800
NPI assigned
Nov 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16606-132 WI Primary

Addresses

Primary practice location

1622 Chestnut St
West Bend, WI 53095-3014

Mailing address

125 Warren St
Beaver Dam, WI 53916-3031
Phone (920) 344-9495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1053854778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WARREN ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539163031",
            "telephone_number": "920-344-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 CHESTNUT ST",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953014",
            "telephone_number": "262-306-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAROMATIS",
        "first_name": "KATHERINE",
        "middle_name": "SUE",
        "credential": "CSAC-130 166",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16606-132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.