Individual provider Active NPI

Kristen Kimble Houslet, LPC

  • Professional Counselor
  • Friendship, WI
National Provider Identifier
1154836039
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7628-125 Issued in WI
Practice address
302 W Lake St
Friendship, WI 53934-9698
Phone
(608) 474-4355
Fax
(608) 474-4309
NPI assigned
Dec 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7628-125 WI Primary

Addresses

Primary practice location

302 W Lake St
Friendship, WI 53934-9698

Mailing address

571 Braund St
Onalaska, WI 54650-8556
Phone (608) 785-7000

Other practice location 1

206 S Roosevelt Rd Ste 124
Black River Falls, WI 54615-8810
Phone (715) 670-8692

Other practice location 2

571 Braund St
Onalaska, WI 54650-8556
Phone (608) 785-7000 ext. 280

Other identifiers 2

IdentifierTypeStateIssuer
100074034MedicaidWI
7628-125OtherWILICENSE

Other names 1

  • Kristen Robatcek Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240129000854 WI Practitioner - Mental Health Counselor 4981053246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Clinica de Los Campesinos, IncGroup PAC ID 8729996574, 21 clinicians

Practice addresses (Care Compare)

3125 Main St
Stevens Point, WI 54481-3269
Phone (920) 787-5514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica de Los Campesinos, Inc CurrentSince Jan 2, 2024 Accepting new patients
La Clinica de Los Campesinos, Inc CurrentSince Jan 2, 2024 Accepting new patients
Stein Counseling and Consulting Services, LTD. PastSince Nov 4, 2023 Accepting new patients

Locations

1701 N Spring St
Beaver Dam, WI 53916
Phone (920) 644-0317

302 W Lake St
Friendship, WI 53934
Phone (608) 339-3326

3125 Main St
Stevens Point, WI 54481
Phone (715) 254-9072

400 S Townline Rd
Wautoma, WI 54982
Phone (920) 647-8984

Organizations & group practices 4

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": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1154836039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 BRAUND ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508556",
            "telephone_number": "608-785-7000",
            "fax_number": "608-785-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W LAKE ST",
            "city": "FRIENDSHIP",
            "state": "WI",
            "postal_code": "539349698",
            "telephone_number": "608-474-4355",
            "fax_number": "608-474-4309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 S Roosevelt Rd Ste 124",
            "address_purpose": "LOCATION",
            "city": "Black River Falls",
            "state": "WI",
            "postal_code": "546158810",
            "country_code": "US",
            "telephone_number": "715-670-8692",
            "fax_number": "608-785-7477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "571 Braund St",
            "address_purpose": "LOCATION",
            "city": "Onalaska",
            "state": "WI",
            "postal_code": "546508556",
            "country_code": "US",
            "telephone_number": "608-785-7000 x280",
            "fax_number": "608-785-7477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUSLET",
        "first_name": "KRISTEN",
        "middle_name": "KIMBLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7628-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100074034",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "7628-125",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "ROBATCEK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Friendship, WI

Sources for this page

Verify at the official NPI Registry.