Individual provider Active NPI

Gabriela Knutson, APSW, SAC

  • Mental Health Counselor
  • Platteville, WI
National Provider Identifier
1164052866
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
134231 Issued in WI
Practice address
6058 S Chestnut St
Platteville, WI 53818-8947
Phone
(608) 342-4853
Fax
(608) 342-3072
NPI assigned
Jan 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 134231 WI Primary

Addresses

Primary practice location

6058 S Chestnut St
Platteville, WI 53818-8947

Mailing address

6058 S Chestnut St
Platteville, WI 53818-8947
Phone (608) 342-4853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
134231WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
WKM Psychology Clinics, Inc. CurrentSince Feb 23, 2025 Accepting new patients
Heartland Integrated Health Wi LLC Past Accepting new patients

Locations

6058 S Chestnut St
Platteville, WI 53818
Phone (608) 342-4853

6058 S Chestnut St
Ste 100
Platteville, WI 53818
Phone (608) 342-4853

Organizations & group practices 2

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": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1164052866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6058 S CHESTNUT ST",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538188947",
            "telephone_number": "608-342-4853",
            "fax_number": "608-342-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6058 S CHESTNUT ST",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538188947",
            "telephone_number": "608-342-4853",
            "fax_number": "608-342-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUTSON",
        "first_name": "GABRIELA",
        "credential": "APSW, SAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "134231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Platteville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.