Active NPI
Kate Wassmann, LPC
- Professional Counselor
- Appleton, WI
National Provider Identifier
1063758902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4344-125
- Practice address
- 424 E Longview Dr
Appleton, WI 54911-2167 - Phone
- (920) 234-9240
- Fax
- (920) 364-6096
- NPI assigned
- Dec 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4344-125 | WI | Primary |
Addresses
Primary practice location
424 E Longview Dr
Appleton, WI 54911-2167
Mailing address
424 E Longview Dr
Appleton, WI 54911-2167
Phone (920) 234-9240
Other names 1
- Kate Siebers
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4344-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CCP Clinic, LLC | Professional | Current | Accepting new patients |
Locations
424 E Longview Dr
Appleton, WI 54911
Phone (920) 234-9240
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1063758902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 E LONGVIEW DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "549112167",
"telephone_number": "920-234-9240",
"fax_number": "920-364-6096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 E LONGVIEW DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "549112167",
"telephone_number": "920-234-9240",
"fax_number": "920-364-6096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSMANN",
"first_name": "KATE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-21",
"last_updated": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "4344-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATE",
"last_name": "SIEBERS",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.