Katrina Kiefer Matthias, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7887 Issued in WI

Practice address

8800 Washington Ave Ste 300
Mt Pleasant, WI 53406-3705

Phone

(262) 633-3591

NPI assigned

Nov 19, 2020

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 identifiers 1

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 and National Provider Directory roles.

• Children'S Medical Group

  • Pediatrics Physician
  • Glendale, WI
  • NPI 1134394471
  NPD (past)
• Children'S Medical Group

  • Pediatrics Physician
  • Mount Pleasant, WI
  • NPI 1174999262
  NPD (past)
• Children'S Service Society of Wisconsin

  • Clinical Social Worker
  • Mount Pleasant, WI
  • NPI 1548434848

  Professional

  NPD (past)

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1124621222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 WASHINGTON AVE STE 300",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534063705",
            "telephone_number": "262-663-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 WASHINGTON AVE STE 300",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534063705",
            "telephone_number": "262-633-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHIAS",
        "first_name": "KATRINA",
        "middle_name": "KIEFER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7887-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124621222",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Martin
• Kelly C. Martin, APNP
• Lindsey Martinez, MOTRL
• James Dean Mataczynski, MD
• Emily M Matson, PTA
• Carrie Mattie-Jensen
• Susan Maxwell, DPT
• Christopher J May, PT, DPT, OCS
• Samuel May
• Melissa K Mayer, APNP

• Professional Counselor in Mt Pleasant, WI
• Providers in Mt Pleasant, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.