Deborah J Klecker, LPC, MFT-IT, SAC-IT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4958-125 Issued in WI

Practice address

970 S Silver Lake St
Suite #103
Oconomowoc, WI 53066-3802

Phone

(262) 567-7377

Fax

(262) 567-7377

NPI assigned

Nov 15, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385683200000",
    "number": "1255675112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W6269 TRAIN RD",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530983909",
            "telephone_number": "262-893-7870",
            "fax_number": "262-567-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 S SILVER LAKE ST",
            "address_2": "SUITE #103",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663802",
            "telephone_number": "262-567-7377",
            "fax_number": "262-567-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLECKER",
        "first_name": "DEBORAH",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LPC, MFT-IT, SAC-IT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2013-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15898-130",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "178-228",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4958-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255675112",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kestrel Medical LLC
• Catherine D Keulks-Torinus, P.A.C.
• Evgeniya Khen, NP
• Ann M Kiesow, MA-CCCA
• Kyle J Kircher, M.D.
• Alyssa Klein
• David Klement, OD
• Heather Mae Klemm, LCSW
• Sharon Louise Kleppe
• Jena Kluesner

• Professional Counselor in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2013; 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.