Individual provider Active NPI

Katherine Kunz

  • Professional Counselor
  • Waukesha, WI
National Provider Identifier
1114658564
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10770-125 Issued in WI
Practice address
2607 N Grandview Blvd Ste 110
Waukesha, WI 53188-1690
Phone
(262) 313-8339
Fax
(262) 910-1653
NPI assigned
Jun 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10770-125 WI Primary
Counselor 101Y00000X 5336-226 WI

Addresses

Primary practice location

2607 N Grandview Blvd Ste 110
Waukesha, WI 53188-1690

Mailing address

N64W38122 Lac Labelle Dr
Oconomowoc, WI 53066
Phone (262) 490-5812

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

LicenseStateTypeSpecialty
5336-226WIMDCounselor
10770-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope for a Better Tomorrow CurrentSince Jun 21, 2022 Accepting new patients
Breathe Wellness & Prenatal Care LLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

2607 N Grandview Blvd
Ste 110
Waukesha, WI 53188
Phone (262) 313-8339

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1114658564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N64W38122 LAC LABELLE DR",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "53066",
            "telephone_number": "262-490-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 N GRANDVIEW BLVD STE 110",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881690",
            "telephone_number": "262-313-8339",
            "fax_number": "262-910-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNZ",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10770-125",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "5336-226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.