Kirstin Opgenorth

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

132865-121 Issued in WI

Practice address

926 S 8TH St
Manitowoc, WI 54220-4535

Phone

(920) 683-4230

NPI assigned

Jun 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

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.

• Life Point Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Plymouth, WI
  • NPI 1407097371
  Medicare reassignment NPD

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1386373835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 S 8TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204535",
            "telephone_number": "920-683-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 S 8TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204535",
            "telephone_number": "920-683-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPGENORTH",
        "first_name": "KIRSTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "19724-130",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "132865-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Ladd Olson, M.D.
• Luke Daniel Olson, PA-C
• Michelle Marie Olson, COTA
• Nichole Olson
• Renee Louise Olson, PHYSICAL THERAPIST
• Diane M Oppeneer, APNP
• Michael Owen Orchekowski, DDS
• Orthopaedic Associates of Manitowoc LTD
• Orthopedic & Spine Therapy of Brillion, SC
• Orthopedic & Spine Therapy of Brillion, SC

• Clinical Social Worker in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.