Individual provider Active NPI

Kathy J Hughes, LCSW

  • Clinical Social Worker
  • Sheboygan, WI
National Provider Identifier
1366889388
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7942-123 Issued in WI
Practice address
3923 N 29TH St
Sheboygan, WI 53083-2004
Phone
(920) 453-0082
Fax
(920) 453-0082
NPI assigned
May 31, 2013
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7942-123 WI
Clinical Social Worker 1041C0700X 7942-123 WI Primary

Addresses

Primary practice location

3923 N 29TH St
Sheboygan, WI 53083-2004

Mailing address

PO Box 873
Sheboygan, WI 53082-0873
Phone (920) 453-0082

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
I20131216001512 WI Practitioner - Clinical Social Worker 8628205770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3923 N 29TH St
Sheboygan, WI 53083-2004
Phone (920) 453-0082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7942-123WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kathy Hughes Counseling, LLC CurrentSince Oct 12, 2018 Accepting new patients
Northshore Clinic LLC PastSince Jan 14, 2013 Accepting new patients

Locations

630 Riverfront Dr
Ste 203
Sheboygan, WI 53081
Phone (920) 453-0082

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": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1366889388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 873",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530820873",
            "telephone_number": "920-453-0082",
            "fax_number": "920-453-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 N 29TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530832004",
            "telephone_number": "920-453-0082",
            "fax_number": "920-453-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "KATHY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7942-123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7942-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

Verify at the official NPI Registry.