Individual provider Active NPI

Shawna Krienitz, LPC, ATR, CEDS

  • Mental Health Counselor
  • Appleton, WI
National Provider Identifier
1487015152
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5873-125 Issued in WI
Practice address
3416 N Association Dr
Appleton, WI 54914-1479
Phone
(920) 364-9078
Fax
(920) 243-1972
NPI assigned
Mar 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5873-125 WI Primary

Addresses

Primary practice location

3416 N Association Dr
Appleton, WI 54914-1479

Mailing address

245 N Metro Dr
Appleton, WI 54913-8572

Other names 1

  • Shawna Doriot Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251105000061 WI Practitioner - Mental Health Counselor 6800311523 Reassigns benefits to 1 organization
I20251203000819 MN Practitioner - Mental Health Counselor 6800311523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

W175N11081 Stonewood Dr
Germantown, WI 53022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5274MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Lutheran Child and Family Service Inc CurrentSince Sep 25, 2025 Accepting new patients
Seed Inc CurrentSince Apr 6, 2025 Accepting new patients
Expressive Therapies LLC CurrentSince Apr 6, 2025 Accepting new patients
Wisconsin Lutheran Child & Family Service, Inc PastSince Sep 25, 2025 Accepting new patients
Wisconsin Lutheran Child & Family Service Past Accepting new patients

Locations

700 Luther Dr
Mankato, MN 56001
Phone (507) 344-7406

3261 19th St NW
Ste 100
Rochester, MN 55901

4351 W College Ave
Ste 410
Appleton, WI 54914
Phone (262) 345-5599

245 N Metro Dr
Appleton, WI 54913
Phone (920) 284-0891

W175N11120 Stonewood Dr
Germantown, WI 53022
Phone (262) 345-5533

9555 S Howell Ave
Oak Creek, WI 53154
Phone (262) 345-5560

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1487015152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N METRO DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 N ASSOCIATION DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549141479",
            "telephone_number": "920-364-9078",
            "fax_number": "920-243-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIENITZ",
        "first_name": "SHAWNA",
        "credential": "LPC, ATR, CEDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "5873-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWNA",
            "last_name": "DORIOT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.