Individual provider Active NPI

Kami Marie Ayres, L.C.S.W

  • Clinical Social Worker
  • Menomonie, WI
National Provider Identifier
1336469824
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7641-123 Issued in WI
Practice address
392 Red Cedar St Ste 3B
Menomonie, WI 54751-2338
Phone
(715) 231-2010
NPI assigned
Jun 7, 2010
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7641-123 WI Primary

Addresses

Primary practice location

392 Red Cedar St Ste 3B
Menomonie, WI 54751-2338

Mailing address

392 Red Cedar St Ste 3B
Menomonie, WI 54751-2338
Phone (715) 231-2010

Other identifiers 1

IdentifierTypeStateIssuer
013500015OtherWIMEDICARE

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
I20101230001035 WI Practitioner - Clinical Social Worker 9032307327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

392 Red Cedar St
Suite 3B
Menomonie, WI 54751-2338
Phone (715) 231-2010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kayres Counseling LLC CurrentSince Jul 1, 2016 Accepting new patients
Kayres Counseling, LLC. Clinical Current Accepting new patients

Locations

392 Red Cedar St
Ste 3B
Menomonie, WI 54751
Phone (715) 231-2010

N4762 State Road 25
Menomonie, WI 54751
Phone (715) 231-2010

N4762 State Road 25
Ste 235
Menomonie, WI 54751

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1336469824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 RED CEDAR ST STE 3B",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512338",
            "telephone_number": "715-231-2010",
            "fax_number": "715-231-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 RED CEDAR ST STE 3B",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512338",
            "telephone_number": "715-231-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYRES",
        "first_name": "KAMI",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7641-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "013500015",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonie, WI

Sources for this page

Verify at the official NPI Registry.