Individual provider Active NPI

Colleen Lynn Kasten, SACIT

  • Addiction (Substance Use Disorder) Counselor
  • Grafton, WI
National Provider Identifier
1205320462
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
18529-130 Issued in WI
Practice address
1971 Washington St Ste 200
Grafton, WI 53024-2125
Phone
(262) 377-6276
Fax
(262) 377-6289
NPI assigned
Jun 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 18529-130 WI Primary

Addresses

Primary practice location

1971 Washington St Ste 200
Grafton, WI 53024-2125

Mailing address

1971 Washington St Ste 200
Grafton, WI 53024-2125
Phone (262) 377-6276

Other practice location 1

111 Warren St Ste 2
Beaver Dam, WI 53916-3084
Phone (920) 219-4440

Other practice location 2

1622 Chestnut St
West Bend, WI 53095-3014
Phone (262) 306-9800

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
18529-130WIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Living for Liberation PastSince Feb 26, 2023 Accepting new patients
Alarus Home Health LLC Past Accepting new patients
Alarus Healthcare, LLC PastSince Mar 16, 2014 Accepting new patients

Organizations & group practices 3

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": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1205320462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 WASHINGTON ST STE 200",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530242125",
            "telephone_number": "262-377-6276",
            "fax_number": "262-377-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 WASHINGTON ST STE 200",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530242125",
            "telephone_number": "262-377-6276",
            "fax_number": "262-377-6289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Warren St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Beaver Dam",
            "state": "WI",
            "postal_code": "539163084",
            "country_code": "US",
            "telephone_number": "920-219-4440",
            "fax_number": "920-219-4553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1622 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "West Bend",
            "state": "WI",
            "postal_code": "530953014",
            "country_code": "US",
            "telephone_number": "262-306-9800",
            "fax_number": "262-306-9802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASTEN",
        "first_name": "COLLEEN",
        "middle_name": "LYNN",
        "credential": "SACIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "18529-130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.