Katelynn Coughlin, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1134-124 Issued in WI

Practice address

112 Watson St
Ripon, WI 54971-1327

Phone

(920) 896-0189

Fax

(920) 694-3021

NPI assigned

Aug 25, 2015

Last updated

Mar 17, 2018By the provider in NPPES

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

• Katelynn Kinas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Growing Oak LLC

  • Professional Counselor
  • Ripon, WI
  • NPI 1306195276
  NPD (past)
• Samaritan Counseling Center of the Fox Valley, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Menasha, WI
  • NPI 1538175195
  NPD (past)
• Shaffer Counseling & Consulting

  • Clinical Social Worker
  • Oshkosh, WI
  • NPI 1184230351
  NPD (past)

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114394129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WATSON ST",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "549711327",
            "telephone_number": "920-896-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WATSON ST",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "549711327",
            "telephone_number": "920-896-0189",
            "fax_number": "920-694-3021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1478 Kenwood Dr",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Menasha",
            "state": "WI",
            "postal_code": "549521161",
            "country_code": "US",
            "telephone_number": "920-886-9319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUGHLIN",
        "first_name": "KATELYNN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "468-228",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1134-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYNN",
            "last_name": "KINAS",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael J. Combs, M.D.
• Community Health Network Inc (CHN Medical Center Ripon)
• Consultants Laboratory of Wisconsin, LLC
• Consultants Laboratory of Wisconsin, LLC
• Cooperleaf Management Group
• Danielle M Covach, DO
• John Dalsbo
• Jessica L Davis, D.D.S.
• Eric Demshar, PT
• Glenn F. Devries, DPM

• Marriage & Family Therapist in Ripon, WI
• Providers in Ripon, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.