Kathleen Elizabeth Reichenberg, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1646 Issued in ND

Practice address

210 Highway 2 W Ste 10
Devils Lake, ND 58301-2913

Phone

(701) 662-1046

Fax

(866) 528-9548

NPI assigned

Sep 13, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kathleen Elizabeth Reichenberg Other name

Medicare fee-for-service enrollment

Enrolled in ND

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, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: lifewiseassociates.kathleenreichenberg@159709.advancedmd-direct.com

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.

• Lifewise Associates LLC

  • Clinic/Center
  • Devils Lake, ND
  • NPI 1871088674

  ND

  Medicare reassignment

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1366724643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 HIGHWAY 2 W STE 2",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012913",
            "telephone_number": "701-662-1046",
            "fax_number": "866-528-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HIGHWAY 2 W STE 10",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012913",
            "telephone_number": "701-662-1046",
            "fax_number": "866-528-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHENBERG",
        "first_name": "KATHLEEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "941-3-18A",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ND",
            "license": "1646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "941-3-18A",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "REICHENBERG",
            "middle_name": "ELIZABETH",
            "credential": "LPCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Taniya Raye Redfox
• Amanda Reed
• Barb Reed, LSW
• Lilisa Reese
• Reflect & Reframe PLLC
• Timothy Wayne Reiner, CRNA
• Michael A. Remmick, D.C.
• Robert Alan Remmick, DDS
• Jadey Risovi
• Robert Remmick, DDS, PC

• All providers in Devils Lake, ND
• Addiction (Substance Use Disorder) Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.