Amy Krumenacher, MS,CSAC, LPC, ICS-IT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6539-125 Issued in WI

Practice address

101 W Broadway FL 2
Waukesha, WI 53186-4833

Phone

(262) 547-5567

Fax

(262) 547-1608

NPI assigned

Aug 17, 2015

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Service Agency of Waukesha County IncGroup PAC ID 0648168823, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Service Agency of Waukesha County Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waukesha, WI
  • NPI 1568404671
  Medicare reassignment Care Compare group NPD
• Family Services of Waukesha

  • Community/Behavioral Health Agency
  • Waukesha, WI
  • NPI 1265677884
  NPD (past)

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1417323114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W BROADWAY FL 2",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864833",
            "telephone_number": "262-547-5567",
            "fax_number": "262-547-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W BROADWAY FL 2",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864833",
            "telephone_number": "262-547-5567",
            "fax_number": "262-547-1608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1610 Miller Park Way",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532143604",
            "country_code": "US",
            "telephone_number": "414-672-3801",
            "fax_number": "414-672-6026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 E Wisconsin Ave Ste H",
            "address_purpose": "LOCATION",
            "city": "Oconomowoc",
            "state": "WI",
            "postal_code": "530663057",
            "country_code": "US",
            "telephone_number": "262-547-4455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUMENACHER",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "MS,CSAC, LPC, ICS-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16069-132",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "2854-226",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6539-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikki Sean Kroner, APNP
• Neve Kronhelm
• Scott J Krug, M.D.
• Krukowski Family Chiropractic LLC
• Tammy Lee Krukowski, D.C.
• Julius J Krumenacher
• Jamie Krzykowski, PHD, LAT, CISSN, TNC
• Barbara J Kuechler, RN
• Brian D Kueck, MD
• Kelly L Kuehl, MSW, LCSW

• Professional Counselor in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.