Kirstin E Meyer, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1205-226 Issued in WI

Practice address

11649 N Port Washington Rd Ste 201
Mequon, WI 53092-3459

Phone

(262) 789-1191

Fax

(262) 478-0030

NPI assigned

Apr 18, 2013

Last updated

Nov 26, 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

Other names 1

• Kirstin E Thompson 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cornerstone Counseling Services, Inc

  dba LifeStance Health

  • Mental Health Counselor
  • Brookfield, WI
  • NPI 1033127246
  NPD
• Family Service Agency of Waukesha County Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waukesha, WI
  • NPI 1568404671
  NPD (past)
• Family Services of Waukesha

  • Community/Behavioral Health Agency
  • Waukesha, WI
  • NPI 1265677884
  NPD (past)

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1316381510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W BIRCH AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095116",
            "telephone_number": "414-333-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11649 N PORT WASHINGTON RD STE 201",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923459",
            "telephone_number": "262-789-1191",
            "fax_number": "262-478-0030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 N Port Washington Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "WI",
            "postal_code": "532174927",
            "country_code": "US",
            "telephone_number": "262-789-1191 x130",
            "fax_number": "414-967-7965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W Broadway",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531864833",
            "country_code": "US",
            "telephone_number": "262-547-5567",
            "fax_number": "262-547-1608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "KIRSTIN",
        "middle_name": "E",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "1205-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTIN",
            "last_name": "THOMPSON",
            "middle_name": "E",
            "credential": "LPC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mequonctd1 LLC
• Lindsay Corrine Mercen, L.AC
• Jeffrey A Merlin, M.D.
• Madison Jing Meulemans
• Brandon Lee Meye, D.C.
• Nicole M Meyer
• Alexander Meyers
• Cynthia Michalak, MS, CCC/SLP
• Jennifer R. Micke-Kopetsky, M.D.
• Midwest Orthopedic Specialty Hospital, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.