Individual provider Active NPI

Katherine Andrews, MS, LPC

  • Professional Counselor
  • Mauston, WI
National Provider Identifier
1104422831
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8323-125 Issued in WI
Practice address
200 S Hickory St
Mauston, WI 53948-1320
Phone
(608) 847-2400
Fax
(608) 847-9599
NPI assigned
Dec 8, 2020
Last updated
Oct 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8323-125 WI Primary

Addresses

Primary practice location

200 S Hickory St
Mauston, WI 53948-1320

Mailing address

200 S Hickory St
Mauston, WI 53948-1320
Phone (608) 847-2400

Other identifiers 1

IdentifierTypeStateIssuer
1104422831MedicaidWI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240322003068 WI Practitioner - Mental Health Counselor 7618314873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Juneau CountyGroup PAC ID 5395759047, 5 clinicians

Practice addresses (Care Compare)

200 Hickory St
Mauston, WI 53948
Phone (608) 847-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8323-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Juneau County CurrentSince Jan 1, 2024 Accepting new patients
Juneau County CurrentSince Jan 1, 2024 Accepting new patients

Locations

200 S Hickory St
Mauston, WI 53948
Phone (608) 847-2400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1104422831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S HICKORY ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481320",
            "telephone_number": "608-847-2400",
            "fax_number": "608-847-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S HICKORY ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481320",
            "telephone_number": "608-847-2400",
            "fax_number": "608-847-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "KATHERINE",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8323-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104422831",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mauston, WI

Sources for this page

Verify at the official NPI Registry.