Kerry J Jung, LPC
Individual provider Active NPI Professional Counselor · Whitewater, WI
NPI 1386652865 · NPPES record last updated Jun 30, 2025
Key facts
- NPI
- 1386652865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 3517 (WI)
- Practice address
- 1173 W Main St
Whitewater, WI 53190-1672 - Phone
- (920) 728-4416
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3517 | WI | MD | Professional Counselor |
| 3517125 | WI | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3517125 | WI | |
| Professional Counselor | 101YP2500X | 3517 | WI | Yes |
Addresses
Primary practice location
1173 W Main St
Whitewater, WI 53190-1672
Mailing address
N1607 Poeppel Rd
Fort Atkinson, WI 53538-9329
Phone (920) 728-7121
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13798 | Other | WI | DEAN HEALTH INSU |
| 209292 | Other | WI | PHYSICIANS PLUS |
| 40982700H0 | Medicaid | WI | |
| 353740 | Other | WI | MHN INSURANCE |
| 39184249629 | Other | WI | UNITY INSURANCE LAKE MILL |
| 39184249628 | Other | WI | UNITY HEALTH INS WATERTOW |
Other names
- Ms. Kerry J Wolfe
Other providers in Whitewater, WI
- Influential Connections Counseling LLC
- Katherine Jefferies
- Sydney A Joiner
- Linda Joyce Jones
- Thomas Michael Jones
- Abigail Marie Kabara
- Michael J Kellum
- Chad Kelsey
- Kenneth R Kidd
- Renee K. Kimball
All providers in Whitewater, WI · Professional Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.