Active NPI
Kathryn D Marolt, PSYD
- Clinical Psychologist
- Burlington, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2943-57
- Practice address
- 197 W Chestnut St Ste 100
Burlington, WI 53105-1200 - Phone
- (262) 763-9191
- NPI assigned
- Jun 27, 2021
- Last updated
- Apr 21, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2943-57 | WI | Primary |
Addresses
Primary practice location
197 W Chestnut St Ste 100
Burlington, WI 53105-1200
Mailing address
120 Robincrest LN
Lindenhurst, IL 60046-9520
Phone (312) 246-2834
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
- Clinical Psychologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
197 W Chestnut St
Suite 100
Burlington, WI 53105-1200
Phone (262) 763-9191
6525 Green Bay Rd
Suite 2
Kenosha, WI 53142-2967
Phone (262) 999-3495
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Counseling Services, Inc | Current | Accepting new patients | |
| Clinical Psychology Associates, LLC | Psychologist | Current | Accepting new patients |
| Odyssey Healthcare Operating B, LP | Past | Accepting new patients |
Locations
16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909
197 W Chestnut St
Ste 100
Burlington, WI 53105
Phone (262) 763-9191
6525 Green Bay Rd
Ste 2
Kenosha, WI 53142
Phone (262) 492-5276
Organizations & group practices 3
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.
-
dba Clinical Psychology Associates
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Burlington, WI
- NPI 1619156502
Psychologist
-
dba LifeStance Health
- Mental Health Counselor
- Brookfield, WI
- NPI 1033127246
-
dba Gentiva
- Community Based Hospice Care Agency
- Coeur d'Alene, ID
- NPI 1225487648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1265002810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 ROBINCREST LN",
"city": "LINDENHURST",
"state": "IL",
"postal_code": "600469520",
"telephone_number": "312-246-2834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 W CHESTNUT ST STE 100",
"city": "BURLINGTON",
"state": "WI",
"postal_code": "531051200",
"telephone_number": "262-763-9191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAROLT",
"first_name": "KATHRYN",
"middle_name": "D",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-27",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "2943-57",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.