Ka V Lee, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5901-125 Issued in WI

Practice address

3321 S 12TH St
Sheboygan, WI 53081-6753

Phone

(920) 783-6201

Fax

(920) 783-6203

NPI assigned

Jan 11, 2016

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

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

Medicare enrollment (NPD)

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.

• Prism Health and Wellness LLC

  • Professional Counselor
  • Sheboygan, WI
  • NPI 1871218636
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1285090936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 S 12TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530816753",
            "telephone_number": "920-783-6201",
            "fax_number": "920-783-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 S 12TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530816753",
            "telephone_number": "920-783-6201",
            "fax_number": "920-783-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KA",
        "middle_name": "V",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5901-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie J Lawrenz, LPC
• Linda Louise Lawton, OTR
• Srilatha Atluri Lazzaro, M.D.
• Christine Minh Le, PHARMD
• David Blong Shouanou Lee, DDS
• Kelly Lee
• Emily Legault, LAT
• Lindsey Violet Leibham, AUD
• Calen H Leider, D.D.S.
• Sasha Leikip, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.