Active NPI
Karen Godfredsen, PSYD
- Counseling Psychologist
- Milwaukee, WI
National Provider Identifier
1164473203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 2595057
- Practice address
- 820 N Plankinton Ave
Milwaukee, WI 53203-1802 - Phone
- (414) 273-1991
- Fax
- (414) 273-2357
- NPI assigned
- May 13, 2006
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 2595057 | WI | Primary |
Addresses
Primary practice location
820 N Plankinton Ave
Milwaukee, WI 53203-1802
Mailing address
820 N Plankinton Ave
Milwaukee, WI 53203-1802
Phone (414) 273-1991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40977600 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2025 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2595057 | WI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1164473203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 N PLANKINTON AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532031802",
"telephone_number": "414-273-1991",
"fax_number": "414-273-2357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 N PLANKINTON AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532031802",
"telephone_number": "414-273-1991",
"fax_number": "414-273-2357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODFREDSEN",
"first_name": "KAREN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "WI",
"license": "2595057",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40977600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.