Kimberly Ann Oleksak, MSCC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7320-125 Issued in WI

Practice address

3200 Sheridan Rd Ste 104
Kenosha, WI 53140-1921

Phone

(262) 997-9411

Fax

(262) 997-3844

NPI assigned

Apr 15, 2015

Last updated

Jul 7, 2020By 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 1

Addresses

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.

• Thrive Therapy Services LLC

  dba Thrive Therapy Services

  • Community/Behavioral Health Agency
  • Kenosha, WI
  • NPI 1922557800
  NPD (past)

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1144616277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SHERIDAN RD STE 104",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531401921",
            "telephone_number": "262-997-9411",
            "fax_number": "262-997-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SHERIDAN RD STE 104",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531401921",
            "telephone_number": "262-997-9411",
            "fax_number": "262-997-3844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3010 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Waukegan",
            "state": "IL",
            "postal_code": "600852321",
            "country_code": "US",
            "telephone_number": "847-377-8088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Lance Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Twin Lakes",
            "state": "WI",
            "postal_code": "531819639",
            "country_code": "US",
            "telephone_number": "262-997-9411 x1005",
            "fax_number": "262-997-3844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLEKSAK",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7320-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Occupro, LLC
• Paul Oluwatoyin Odusanya, MD
• Daniel Oh, D.D.S.
• Nancy Nkemjika Okeke, DDS
• Abigail Jean Olcott, RD
• Jeanne E Olsen, PA-C
• Melissa M Olsen, LCPC
• Nicholas Olsen, LCSW
• Shae Olsen, LCSW
• Jordan Olson

• Mental Health Counselor in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.