Active NPI
Debra S Klund, LMFT
- Marriage & Family Therapist
- Rice Lake, WI
National Provider Identifier
1083784433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 607-124
- Practice address
- 331 S Main St
Rice Lake, WI 54868 - Phone
- (715) 838-5222
- NPI assigned
- Nov 9, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 607-124 | ||
| Marriage & Family Therapist | 106H00000X | 607-124 | WI | Primary |
Addresses
Primary practice location
331 S Main St
Rice Lake, WI 54868
Mailing address
PO Box 1510
Eau Claire, WI 54702-1510
Phone (715) 838-5222
Other practice location 1
120 S Barstow St
Eau Claire, WI 54701-3642
Phone (715) 832-2221
Other practice location 2
120 S Barstow St
Eau Claire, WI 54701-3642
Phone (715) 832-2221
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 |
|---|---|---|---|
| 607-124 | WI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1083784433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1510",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547021510",
"telephone_number": "715-838-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 S MAIN ST",
"city": "RICE LAKE",
"state": "WI",
"postal_code": "54868",
"telephone_number": "715-838-5222"
}
],
"practiceLocations": [
{
"address_1": "120 S Barstow St",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547013642",
"country_code": "US",
"telephone_number": "715-832-2221",
"fax_number": "715-838-8423",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 S Barstow St",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547013642",
"country_code": "US",
"telephone_number": "715-832-2221",
"fax_number": "715-838-8423",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLUND",
"first_name": "DEBRA",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": "607-124",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "607-124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rice Lake, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.