Individual provider Active NPI

Kathryn D Marolt, PSYD

  • Clinical Psychologist
  • Burlington, WI
National Provider Identifier
1265002810
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2943-57 Issued in WI
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210728002401 WI Practitioner - Clinical Psychologist 0042613028 Reassigns benefits to 2 organizations

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
Clinical Psychology Associates LLCGroup PAC ID 4284041740, 3 clinicians
Cornerstone Counseling Services IncGroup PAC ID 1456256023, 338 clinicians

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

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Services, Inc CurrentSince Aug 5, 2024 Accepting new patients
Clinical Psychology Associates, LLC Psychologist CurrentSince Jul 19, 2021 Accepting new patients
Odyssey Healthcare Operating B, LP PastSince Jul 4, 2021 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.

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

Verify at the official NPI Registry.