Individual provider Active NPI

Kathy Jo Witzig, LPC

  • Professional Counselor
  • Middleton, WI
National Provider Identifier
1255013264
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1398-125 Issued in WI
Practice address
8215 Greenway Blvd Ste 160
Middleton, WI 53562-3689
Phone
(608) 236-4460
Fax
(608) 236-4461
NPI assigned
Aug 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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 1398-125 WI Primary

Addresses

Primary practice location

8215 Greenway Blvd Ste 160
Middleton, WI 53562-3689

Mailing address

14884 Breezy Hill Rd
Fennimore, WI 53809-9745
Phone (608) 732-4855

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
1398-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Services, Inc CurrentSince Aug 6, 2023 Accepting new patients

Locations

8215 Greenway Blvd
Ste 160
Middleton, WI 53562
Phone (608) 801-4741

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1255013264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14884 BREEZY HILL RD",
            "city": "FENNIMORE",
            "state": "WI",
            "postal_code": "538099745",
            "telephone_number": "608-732-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 GREENWAY BLVD STE 160",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623689",
            "telephone_number": "608-236-4460",
            "fax_number": "608-236-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITZIG",
        "first_name": "KATHY",
        "middle_name": "JO",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "1398-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.