Individual provider Active NPI

Kay Margaret Bollmus, MS, LPC-IT, NCC

  • Professional Counselor
  • Waukesha, WI
National Provider Identifier
1316656317
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5436-226 Issued in WI
Practice address
2727 N Grandview Blvd Ste 203
Waukesha, WI 53188-1671
Phone
(262) 547-5567
NPI assigned
Nov 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5436-226 WI Primary

Addresses

Primary practice location

2727 N Grandview Blvd Ste 203
Waukesha, WI 53188-1671

Mailing address

1207 Sweetbriar Dr
Waukesha, WI 53186-6747
Phone (262) 894-6909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5436-226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Agency of Waukesha County Inc CurrentSince Nov 20, 2022 Accepting new patients

Locations

2727 N Grandview Blvd
Ste 203
Waukesha, WI 53188
Phone (262) 547-5567

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": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1316656317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 SWEETBRIAR DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531866747",
            "telephone_number": "262-894-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 N GRANDVIEW BLVD STE 203",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881671",
            "telephone_number": "262-547-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLMUS",
        "first_name": "KAY",
        "middle_name": "MARGARET",
        "credential": "MS, LPC-IT, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5436-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.