Individual provider Active NPI

Kristi A Finnan, MS MFT LCSW

  • Clinical Social Worker
  • Rhinelander, WI
National Provider Identifier
1215109269
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9661120 Issued in WI
Practice address
1831 N Stevens St
Rhinelander, WI 54501
Phone
(715) 365-7000
Fax
(715) 365-7029
NPI assigned
Mar 31, 2008
Last updated
Mar 31, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9661120 WI Primary

Addresses

Primary practice location

1831 N Stevens St
Rhinelander, WI 54501

Mailing address

PO Box 895
Rhinelander, WI 54501
Phone (715) 365-7000

Other identifiers 1

IdentifierTypeStateIssuer
43728400MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241219004057 IL Practitioner - Marriage and Family Therapist 8325118649 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
9661120WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Geiger Psychiatric Care LLC CurrentSince Dec 1, 2024 Accepting new patients
Progressive Chiropractic Wellness & Rehab Centre, P.C. PastSince Dec 1, 2024 Accepting new patients
Community Mental Health Services Inc Past Accepting new patients

Locations

1752 Windsor Rd
Ste 203
Loves Park, IL 61111
Phone (815) 986-1113

6377 Sebring Way
Loves Park, IL 61111
Phone (815) 636-2225

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1215109269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 895",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "54501",
            "telephone_number": "715-365-7000",
            "fax_number": "715-365-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 N STEVENS ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "54501",
            "telephone_number": "715-365-7000",
            "fax_number": "715-365-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINNAN",
        "first_name": "KRISTI",
        "middle_name": "A",
        "credential": "MS MFT LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9661120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43728400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinelander, WI

Sources for this page

Verify at the official NPI Registry.