Pine Counseling Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PINE COUNSELING INC.

Practice address

204 S Orange St
Richland Center, WI 53581-2170

Phone

(608) 383-1261

Fax

(608) 383-1480

NPI assigned

Jun 29, 2019

Organization subpart

No

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

Authorized official

Name

Elijah Lake KramerNPI 1992231203

Title

Owner/Administrator

Phone

(608) 475-7908

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Michelle Martyniuk, LMSW

  • Social Worker
  • Tulsa, OK
  • NPI 1184006652

  WI

  Medicare reassignment NPD
• Elijah Lake Kramer, CSAC

  • Addiction (Substance Use Disorder) Counselor
  • Richland Center, WI
  • NPI 1992231203
  NPD Authorized official
• Jeanette M Burkum, SAC-IT

  • Addiction (Substance Use Disorder) Counselor
  • Richland Center, WI
  • NPI 1275387482
  NPD
• Kristine Noel Olson, APSW

  • Mental Health Counselor
  • Richland Center, WI
  • NPI 1396467007
  NPD
• Jennifer Ann Skemp, APSW

  • Social Worker
  • Richland Center, WI
  • NPI 1093351272
  NPD
• Amber Lockie Ferguson, LCSW, CSAC, CS-IT

  • Clinical Social Worker
  • Viroqua, WI
  • NPI 1881161917

  Addiction (Substance Use Disorder)

  NPD (past)
• Michael Witzke, MSW, APSW

  • Clinical Social Worker
  • Richland Center, WI
  • NPI 1740147974
  NPD (past)

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

{
    "created_epoch": "1561766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1366004384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S ORANGE ST",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535812170",
            "telephone_number": "608-383-1261",
            "fax_number": "608-383-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S ORANGE ST",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535812170",
            "telephone_number": "608-383-1261",
            "fax_number": "608-383-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE COUNSELING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-29",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_middle_name": "LAKE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "608-475-7908"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184006652",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pinecounselinginc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "204 S Orange St",
            "city": "Richland Center",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535812170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Peckham, RPH
• Bonnie Lou Peer, LPN
• Michael Joseph Pelsoh, PHARMACIST
• Rebekah Elizabeth Perry, PTA
• Kelly A Pickens, APNP
• Philomena M Poole, APNP
• Hollie Portwine
• Lauren Prier, PT
• Kathryn E. Puls, APNP
• Jacob Michael Pusateri, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Richland Center, WI
• Providers in Richland Center, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.