Katherine Witkowski, TLLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301016421 Issued in MI

Practice address

112 W Chisholm St
Alpena, MI 49707-2446

Phone

(989) 340-1645

NPI assigned

Jan 22, 2016

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A1 Venture LLC

  dba A1 Case Management

  • Case Management Agency
  • Alpena, MI
  • NPI 1679190151
  NPD Authorized official
• Northeast Michigan Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Alpena, MI
  • NPI 1144378381
  NPD (past)
• Northeast Michigan Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Alpena, MI
  • NPI 1508180662
  NPD (past)

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1184081093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N 2ND AVE UNIT 678",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497076229",
            "telephone_number": "989-340-1645",
            "fax_number": "989-354-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W CHISHOLM ST",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072446",
            "telephone_number": "989-340-1645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Johnson St",
            "address_purpose": "LOCATION",
            "city": "Alpena",
            "state": "MI",
            "postal_code": "497071434",
            "country_code": "US",
            "telephone_number": "989-356-2161",
            "fax_number": "989-354-5898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITKOWSKI",
        "first_name": "KATHERINE",
        "credential": "TLLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-22",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301016421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Wirgau, LLMSW
• Bonnie Jean Wirgau, RN, BSN
• Jeffery Dale Wirgau, PAC
• Darcy Wiskur, PA-C
• Jeffrey J. Wisniewski, P.A.C.
• Courtney Witulski, FNP
• James Terence Wolf, DDS
• Alexandrea Wolgast
• Breanna Woodward
• Corinne Wozniak, CHW

• Psychologist in Alpena, MI
• Providers in Alpena, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.