Kendra Karbouski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8738-123 Issued in WI

Practice address

2010 Meadow LN
Janesville, WI 53546-3802

Phone

(608) 774-3333

NPI assigned

Dec 16, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kendra Bechtol Former name

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Enlightened Ways Therapy, LLC

  • Professional Counselor
  • Beloit, WI
  • NPI 1073250437

  Social Worker

  Medicare reassignment NPD
• Trivium LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Janesville, WI
  • NPI 1265450753
  NPD (past)
• Trivium LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Sun Prairie, WI
  • NPI 1427463066
  NPD (past)

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1093113458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 MEADOW LN",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535463802",
            "telephone_number": "608-774-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 MEADOW LN",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535463802",
            "telephone_number": "608-774-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARBOUSKI",
        "first_name": "KENDRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-16",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "129598",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8738-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "BECHTOL",
            "credential": "APSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jayne Kalemba, LPN
• Robert L Kalember, MD
• Richard J Kallio, R.PH.
• Lubin Kan, MD, PHD
• Shelby L. Kandziora, LPC-IT, SAC-IT
• Patricia E. Karras, PTA
• Mark Allen Karrels, DDS
• Benjamin H Kartman, MD
• Sara A Kaster, APRN, FNP
• Avery Kaumeyer, CCC-SLP

• Clinical Social Worker in Janesville, WI
• Providers in Janesville, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.