Kristine Louise Clark-Setnes, MS, LMFT, ATR

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

192 Issued in WI

Practice address

W5297 Young Road
Eagle, WI 53119-1908

Phone

(262) 392-5558

Fax

(262) 982-2569

NPI assigned

Apr 3, 2007

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 7, 2021.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1174644348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530080410",
            "telephone_number": "262-641-3700",
            "fax_number": "262-641-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W5297 YOUNG ROAD",
            "city": "EAGLE",
            "state": "WI",
            "postal_code": "531191908",
            "telephone_number": "262-392-5558",
            "fax_number": "262-982-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK-SETNES",
        "first_name": "KRISTINE",
        "middle_name": "LOUISE",
        "credential": "MS, LMFT, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "WI",
            "license": "34036",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Eagle, WI
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.