Michelle Lynn Bingen, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

646123 Issued in WI

Practice address

279 S 17TH Ave
Suite 10
West Bend, WI 53095-3001

Phone

(262) 306-8994

Fax

(262) 306-9317

NPI assigned

Sep 25, 2006

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

Other names 1

• Ms. Michelle Lynn Kuzulka Former name

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Social Worker

Education

University of Wisconsin School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• MB Counseling Center of West Bend, LLC

  • Mental Health Counselor
  • West Bend, WI
  • NPI 1881125458

  WI

  Medicare reassignment NPD Authorized official
• Affiliated Clinical Services Inc

  • Multi-Specialty Clinic/Center
  • West Bend, WI
  • NPI 1851473698
  NPD (past)
• Kettle Moraine Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Bend, WI
  • NPI 1568790954
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1245330307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 S 17TH AVE",
            "address_2": "SUITE 10",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953001",
            "telephone_number": "262-306-8994",
            "fax_number": "262-306-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 S 17TH AVE",
            "address_2": "SUITE 10",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953001",
            "telephone_number": "262-306-8994",
            "fax_number": "262-306-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGEN",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "646123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "KUZULKA",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maisha Berry-Hooks, M.D.
• Kelleigh Best
• Penny Nickel Biersach
• Todd Michael Biesterfeld, MPT
• Monica Katherine Binder, DNP, APNP, FNP-BC
• Angela Bins, LPC
• Lisa E Birch, PT
• Cher Kristine Birno, LPN
• Morgan Ann Birnschein, PHARMD
• Biskobing Enterprises, Inc.

• All providers in West Bend, WI
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.