Individual provider Active NPI

Kristen C Vareka, LPC, CSAC

  • Professional Counselor
  • Wauwatosa, WI
National Provider Identifier
1386946317
Registry record updated Apr 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4453-125 Issued in WI
Practice address
10045 W Lisbon Ave
Wauwatosa, WI 53222-2446
Phone
(414) 358-7953
Fax
(414) 358-7158
NPI assigned
Nov 24, 2010
Last updated
Apr 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15498-132 WI
Professional Counselor 101YP2500X 4453-125 WI Primary

Addresses

Primary practice location

10045 W Lisbon Ave
Wauwatosa, WI 53222-2446

Mailing address

3262 N 106TH St
Wauwatosa, WI 53222-3336
Phone (920) 242-9240

Other practice location 1

6737 W Washington St Ste 1300
West Allis, WI 53214-5636
Phone (414) 358-7953

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
I20240502000781 WI Practitioner - Mental Health Counselor 2668812041 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15498-132WIMDAddiction (Substance Use Disorder) Counselor
4453-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alternatives in Psychological Consultation, S.C. CurrentSince Mar 20, 2024 Accepting new patients

Locations

10045 W Lisbon Ave
Wauwatosa, WI 53222
Phone (414) 358-7144

10045 W Lisbon Ave
Ste 200
Wauwatosa, WI 53222
Phone (414) 358-7151

6737 W Washington St
Ste 1300
West Allis, WI 53214
Phone (414) 358-7144

Organizations & group practices 1

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": "1290556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618012800000",
    "number": "1386946317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3262 N 106TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532223336",
            "telephone_number": "920-242-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10045 W LISBON AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532222446",
            "telephone_number": "414-358-7953",
            "fax_number": "414-358-7158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6737 W Washington St Ste 1300",
            "address_purpose": "LOCATION",
            "city": "West Allis",
            "state": "WI",
            "postal_code": "532145636",
            "country_code": "US",
            "telephone_number": "414-358-7953",
            "fax_number": "414-358-7158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAREKA",
        "first_name": "KRISTEN",
        "middle_name": "C",
        "credential": "LPC, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-24",
        "last_updated": "2021-04-10",
        "certification_date": "2021-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15498-132",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4453-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.