Kami Jo Lipps, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

774-124 Issued in WI

Practice address

575 Lester Ave Ste 100
Onalaska, WI 54650-8695

Phone

(608) 783-1452

Fax

(608) 783-1456

NPI assigned

Nov 11, 2007

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 identifiers 1

Other names 1

• Miss Kami Jo Radsek Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Living Well Christian Family Clinic, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Onalaska, WI
  • NPI 1447428719
  NPD Authorized official

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

{
    "created_epoch": "1194739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1306026067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LESTER AVE STE 100",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508695",
            "telephone_number": "608-783-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 LESTER AVE STE 100",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508695",
            "telephone_number": "608-783-1452",
            "fax_number": "608-783-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPS",
        "first_name": "KAMI",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-11",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "774-124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43736200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAMI",
            "last_name": "RADSEK",
            "middle_name": "JO",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ronda W. Lettner, MS
• Katherine Lindberg
• Elaine Link, LMBT
• Alice Edena Lipford, NCTMB, WLMT
• Joshua Lipps, M.S.
• Marcy D Lisota, PAC
• Living Well Christian Family Clinic, LLC
• Solomon Lo
• Jack M Lockhart, MD
• Morgan Loken, MA, LAT, CSCS

• Marriage & Family Therapist in Onalaska, WI
• Providers in Onalaska, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.