Individual provider Active NPI

Karen J Cumblad, LPC

  • Professional Counselor
  • Waukesha, WI
National Provider Identifier
1225302888
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4742-125 Issued in WI
Practice address
101 W Broadway
2ND Floor
Waukesha, WI 53186-4833
Phone
(262) 547-5567
NPI assigned
Feb 29, 2012
Last updated
Feb 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4742-125 WI Primary

Addresses

Primary practice location

101 W Broadway
2ND Floor
Waukesha, WI 53186-4833

Mailing address

101 W Broadway
2ND Floor
Waukesha, WI 53186-4833
Phone (262) 547-5567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Agency of Waukesha County Inc CurrentSince Jan 25, 2024 Accepting new patients
Family Services of Waukesha Past Accepting new patients

Locations

101 W Broadway
Fl 2
Waukesha, WI 53186
Phone (262) 547-5567

2727 N Grandview Blvd
Ste 203
Waukesha, WI 53188
Phone (262) 547-5567

726 N East Ave
Waukesha, WI 53186
Phone (262) 522-3680

Organizations & group practices 2

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": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1225302888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W BROADWAY",
            "address_2": "2ND FLOOR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864833",
            "telephone_number": "262-547-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W BROADWAY",
            "address_2": "2ND FLOOR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864833",
            "telephone_number": "262-547-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMBLAD",
        "first_name": "KAREN",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4742-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.