Active NPI
Courtney L Krolikowski, LPC, LCMHC, NCC
- Professional Counselor
- De Pere, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10269-125
- Practice address
- 1325 Angels Path
De Pere, WI 54115-4050 - Phone
- (920) 338-2855
- Fax
- (920) 338-9270
- NPI assigned
- Jul 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10269-125 | WI | Primary |
Addresses
Primary practice location
1325 Angels Path
De Pere, WI 54115-4050
Mailing address
PO Box 22040
Green Bay, WI 54305-2040
Phone (920) 445-7210
Other practice location 1
208 S Maple Ave
Green Bay, WI 54303-1571
Phone (630) 788-4413
Other names 1
- Courtney L Baittie
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1325 Angels Path
De Pere, WI 54115-4050
Phone (920) 338-2855
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Psychiatric Center Inc | Current | Accepting new patients | |
| Bellin Psychiatric Center Inc. | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Psychiatric Center Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Professional | Current | Accepting new patients |
Locations
1325 Angels Path
De Pere, WI 54115
Phone (920) 338-2855
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
301 Saint Joseph St
Green Bay, WI 54301
Phone (920) 430-3630
Organizations & group practices 6
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.
-
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1609838473
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Green Bay, WI
- NPI 1952554800
-
- Cardiovascular Disease Physician
- Green Bay, WI
- NPI 1467771535
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Green Bay, WI
- NPI 1518929132
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Green Bay, WI
- NPI 1598728776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1134537129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22040",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052040",
"telephone_number": "920-445-7210",
"fax_number": "920-445-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 ANGELS PATH",
"city": "DE PERE",
"state": "WI",
"postal_code": "541154050",
"telephone_number": "920-338-2855",
"fax_number": "920-338-9270"
}
],
"practiceLocations": [
{
"address_1": "208 S Maple Ave",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543031571",
"country_code": "US",
"telephone_number": "630-788-4413",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KROLIKOWSKI",
"first_name": "COURTNEY",
"middle_name": "L",
"credential": "LPC, LCMHC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-23",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "10269-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "BAITTIE",
"middle_name": "L",
"credential": "LPC, LCMHC, NCC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in De Pere, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.