Katrina Lewellyn

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

2976 Triverton Pike Dr # 207
Fitchburg, WI 53711-5840

Phone

(608) 448-8915

NPI assigned

Aug 21, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Golden Vibes Counseling Center

  • Clinical Social Worker
  • Madison, WI
  • NPI 1699321760
  NPD (past)

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1144004292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 SWANTON RD APT 1",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141967",
            "telephone_number": "608-448-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2976 TRIVERTON PIKE DR # 207",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115840",
            "telephone_number": "608-448-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWELLYN",
        "first_name": "KATRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor M Lazar, APSW
• Troy Lee, APSW
• Jake Lehmann
• Margaret E Novich Leonard
• Madison Levesque
• Brittany Lewis, DPT
• Jenny Sun Li, PHARMD
• Chia Jung Lin
• Sara Linna
• Shannon Lisowe, CF-SLP

• Professional Counselor in Fitchburg, WI
• Providers in Fitchburg, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.