Katherine Ann Premo, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1149-124 Issued in WI

Practice address

6502 Grand Teton PLZ Ste 204
Madison, WI 53719-1047

Phone

(608) 338-1786

NPI assigned

Oct 10, 2016

Last updated

Jun 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cullain LLC

  • Psychiatry Physician
  • Madison, WI
  • NPI 1538446828
  NPD (past)
• Peace of Mind Therapy LLC

  • Marriage & Family Therapist
  • Madison, WI
  • NPI 1750780193
  NPD (past)

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1306396767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W WASHINGTON AVE UNIT 212",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033590",
            "telephone_number": "715-379-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 GRAND TETON PLZ STE 204",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191047",
            "telephone_number": "608-338-1786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6333 Odana Rd",
            "address_2": "Suite 20",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537191170",
            "country_code": "US",
            "telephone_number": "608-270-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREMO",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1149-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precision Hearing Instruments (Miracle-Ear)
• Tracy L Preiser
• Sean Preisler
• Premier Care of Wisconsin, LLC. (Community Medical Services Madison on Broadway)
• Premise Health of Wisconsin Medical SC (True Stage Madison)
• Kathryn Prescott, M.A., CCC-SLP
• Mary Abigail Pineda Presto, PHARM.D.
• Sarah Preston
• Greta R Preuss
• Gail H. Price, LCSW

• Marriage & Family Therapist in Madison, WI
• Providers in Madison, 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 Jun 6, 2019; 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.