Katherine Marie Panula, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3936 - 125 Issued in WI

Practice address

2231 Catlin Ave
Suite #310
Superior, WI 54880-5137

Phone

(715) 395-7825

Fax

(715) 395-7826

NPI assigned

Jan 7, 2008

Last updated

Jan 7, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1164607305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548800085",
            "telephone_number": "715-395-7825",
            "fax_number": "715-395-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 CATLIN AVE",
            "address_2": "SUITE #310",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805137",
            "telephone_number": "715-395-7825",
            "fax_number": "715-395-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANULA",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3936 - 125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.