Individual provider Active NPI

Katherine Jo Saint, M.A., BCBA

  • Behavior Analyst
  • Neenah, WI
National Provider Identifier
1467726976
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-12-1018 Issued in WI
Practice address
1887 Susan Ave
Neenah, WI 54956-1541
Phone
(920) 284-7951
NPI assigned
Mar 1, 2012
Last updated
Jan 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5171-125 WI
Behavior Analyst 103K00000X 1-12-1018 WI Primary

Addresses

Primary practice location

1887 Susan Ave
Neenah, WI 54956-1541

Mailing address

214 E Millard St
New London, WI 54961-1855
Phone (920) 284-7951

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
I20250709000118 WI Practitioner - Mental Health Counselor 8224542667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1486 Kenwood Dr
Suite 101
Menasha, WI 54952-1133
Phone (920) 284-7950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Revitalize Counseling Services LLC Professional CurrentSince Jun 1, 2025 Accepting new patients
Revitalize Counseling Services Professional Current Accepting new patients

Locations

1486 Kenwood Dr
Ste 101
Menasha, WI 54952
Phone (608) 343-7321

Organizations & group practices 2

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": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1467726976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E MILLARD ST",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549611855",
            "telephone_number": "920-284-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 SUSAN AVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549561541",
            "telephone_number": "920-284-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINT",
        "first_name": "KATHERINE",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "M.A., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5171-125",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "1-12-1018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

Verify at the official NPI Registry.