James Kerckhove

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

17423130 Issued in WI

Practice address

9532 E 16 Frontage Rd
Ste. 100
Onalaska, WI 54650-6739

Phone

(608) 783-0506

NPI assigned

Mar 24, 2016

Sex

Male

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

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Counseling AssociatesGroup PAC ID 3678622784, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Counseling Associates

  dba Counseling Associates, LLC

  • Community/Behavioral Health Agency
  • Winona, MN
  • NPI 1063686970

  WI

  Medicare reassignment Care Compare group NPD
• Counseling Associates

  dba Counseling Associates, LLC

  • Multi-Specialty Clinic/Center
  • La Crosse, WI
  • NPI 1629382825
  NPD (past)

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1326400722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9532 E 16 FRONTAGE RD",
            "address_2": "STE 100",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546506739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9532 E 16 FRONTAGE RD",
            "address_2": "STE. 100",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546506739",
            "telephone_number": "608-783-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERCKHOVE",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17423130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003150004",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sue Marie Kaufmann, M.S.
• Jennifer R. Kaus, NP
• Melissa Kehoe, MS
• Kelbel Health LLC
• Theresa M Keller, NP
• Charles Royal Kessler, D.D.S.
• Carrie King
• Teresa A King, MD
• Matthew Kinserdahl
• Alexander Klein, DC

• Addiction (Substance Use Disorder) Counselor in Onalaska, WI
• Providers in Onalaska, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.