Active NPI
Kristel Lyn Hawley, LPC
- Professional Counselor
- De Pere, WI
National Provider Identifier
1437847548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10120-125
- Practice address
- 555 Redbird Cir
De Pere, WI 54115-7977 - Phone
- (920) 338-6830
- Fax
- (920) 338-6879
- NPI assigned
- Apr 26, 2023
- Last updated
- Apr 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10120-125 | WI | Primary |
Addresses
Primary practice location
555 Redbird Cir
De Pere, WI 54115-7977
Mailing address
PO Box 22040
Green Bay, WI 54305-2040
Phone (920) 445-7210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10120-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1437847548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22040",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052040",
"telephone_number": "920-445-7210",
"fax_number": "920-445-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 REDBIRD CIR",
"city": "DE PERE",
"state": "WI",
"postal_code": "541157977",
"telephone_number": "920-338-6830",
"fax_number": "920-338-6879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWLEY",
"first_name": "KRISTEL",
"middle_name": "LYN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-26",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "10120-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in De Pere, WI
- Paul M Harris, D.C.
- Tess Harris
- Christen Hathaway, LMFT-IT
- Jaceson L. Hauser, DC
- Ryan Havlovitz, PT
- Savanna Joy Hayes, LCSW
- Ashleigh Hayward, M.S.CCC-SLP
- Healthy Teeth Green Bay SC
- Heartland Home Care LLC (Heartland Home Health Care)
- Heartland Hospice Services LLC (Heartland Home Health Care and Hospice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.