Individual provider Active NPI

Karla Mathews Fennie, M.S., MFT

  • Marriage & Family Therapist
  • La Crosse, WI
National Provider Identifier
1306283742
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
347-228 Issued in WI
Practice address
115 5TH Ave S
Suite 301
La Crosse, WI 54601
Phone
(608) 797-4741
NPI assigned
May 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 347-228 WI Primary

Addresses

Primary practice location

115 5TH Ave S
Suite 301
La Crosse, WI 54601

Mailing address

115 5TH Ave S
Suite 301
La Crosse, WI 54601
Phone (608) 797-4741

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
I20240214003444 WI Practitioner - Marriage and Family Therapist 1658715974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
University of Wisconsin School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peace of Mind Counseling LLCGroup PAC ID 6305190166, 15 clinicians

Practice addresses (Care Compare)

401 Main St
FL 5
La Crosse, WI 54601-9207
Phone (608) 797-5679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
347-228WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

115 5th Ave S
Ste 523
La Crosse, WI 54601
Phone (608) 397-0192

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1306283742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 5TH AVE S",
            "address_2": "SUITE 301",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "54601",
            "telephone_number": "608-797-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 5TH AVE S",
            "address_2": "SUITE 301",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "54601",
            "telephone_number": "608-797-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNIE",
        "first_name": "KARLA",
        "middle_name": "MATHEWS",
        "name_prefix": "Mrs.",
        "credential": "M.S., MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "347-228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.