Rachel B Kielblock, MS, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3907-125 Issued in WI

Practice address

W3275 Wolf River Dr
Keshena, WI 54135-9202

Phone

(715) 799-3361

Fax

(715) 799-3929

NPI assigned

Jul 25, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Menominee Indian Tribe of Wisconsin

  • Family Medicine Physician
  • Keshena, WI
  • NPI 1568404721
  NPD (past)

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1073778353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970",
            "city": "KESHENA",
            "state": "WI",
            "postal_code": "541350970",
            "telephone_number": "715-799-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W3275 WOLF RIVER DR",
            "city": "KESHENA",
            "state": "WI",
            "postal_code": "541359202",
            "telephone_number": "715-799-3361",
            "fax_number": "715-799-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIELBLOCK",
        "first_name": "RACHEL",
        "middle_name": "B",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3907-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43741600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina Kaquatosh
• Peter C. Keenan, M.D.
• Tammy Keller, RDH
• Connie Kessen, RDH
• Nicholas J Keszo, O.D.
• Isabella Krizan
• Scott Krueger, RD
• Jodi L Lindroth, PT
• Jean Lund, RDH
• Ralph Patrick Luongo Jr., DDS

• Professional Counselor in Keshena, WI
• Providers in Keshena, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.