Kristen Marie Marin, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3063-57 Issued in WI

Practice address

University of Wisconsin-la Crosse, 1725 State Street
2106 Centennial Hall
La Crosse, WI 54601-3742

Phone

(608) 785-8073

NPI assigned

Aug 21, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristen Marie Asmussen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• University of Wisconsin - la Crosse

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • La Crosse, WI
  • NPI 1386368041
  NPD

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265958375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF WISCONSIN-LA CROSSE, 1725 STATE STREET",
            "address_2": "2106 CENTENNIAL HALL",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013742",
            "telephone_number": "608-785-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF WISCONSIN-LA CROSSE, 1725 STATE STREET",
            "address_2": "2106 CENTENNIAL HALL",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013742",
            "telephone_number": "608-785-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "3063-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "ASMUSSEN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Manzoor, MD
• Maple Tree Wellness, LLC
• Laura K Marchiando, MD
• Richard J Marchiando, DO
• Titia Jo Marcou, BSW
• David Edward Marinier, M.D.
• Mark a Midthun MD LLC
• Megan Marks
• Rose Lynn Marks, NP
• Abby Markstrom

• Clinical Psychologist in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.