Active NPI
Kimberly J Lohman, LPC CSAC
- Professional Counselor
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6019-125
- Practice address
- 621 N Sherman Ave Ste B17
Madison, WI 53704-4445 - Phone
- (608) 893-1050
- Fax
- (608) 893-1503
- NPI assigned
- Dec 3, 2013
- Last updated
- Mar 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15896-132 | WI | |
| Professional Counselor | 101YP2500X | 6019-125 | WI | Primary |
Addresses
Primary practice location
621 N Sherman Ave Ste B17
Madison, WI 53704-4445
Mailing address
2801 International LN Ste 205
Madison, WI 53704-3152
Phone (608) 616-4589
Other practice location 1
2801 International Ln Ste 205
Madison, WI 53704-3152
Phone (608) 616-4589
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
621 N Sherman Ave
Suite B17
Madison, WI 53704-4445
Phone (608) 893-1053
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15896-132 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 6019-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Recovery | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
621 N Sherman Ave
Ste B17
Madison, WI 53704
Phone (608) 893-1050
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Madison, WI
- NPI 1205691755
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1245661040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 INTERNATIONAL LN STE 205",
"city": "MADISON",
"state": "WI",
"postal_code": "537043152",
"telephone_number": "608-616-4589",
"fax_number": "608-241-4286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 N SHERMAN AVE STE B17",
"city": "MADISON",
"state": "WI",
"postal_code": "537044445",
"telephone_number": "608-893-1050",
"fax_number": "608-893-1503"
}
],
"practiceLocations": [
{
"address_1": "2801 International Ln Ste 205",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537043152",
"country_code": "US",
"telephone_number": "608-616-4589",
"fax_number": "608-250-2516",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOHMAN",
"first_name": "KIMBERLY",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "LPC CSAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-03",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "15896-132",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "6019-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.