Kimberlyn Rachael Sorvaag, MSW, APSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3703 Oakwood Hills Pkwy Ste 100
Eau Claire, WI 54701-4458

Phone

(219) 241-6422

NPI assigned

Feb 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Lakeside Counseling Center, LLC

  • Mental Health Counselor
  • Madison, WI
  • NPI 1215443882
  Medicare reassignment NPD

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1487248274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SILVER LAKE RD NW STE 110",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551121789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 OAKWOOD HILLS PKWY STE 100",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014458",
            "telephone_number": "219-241-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORVAAG",
        "first_name": "KIMBERLYN",
        "middle_name": "RACHAEL",
        "credential": "MSW, APSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark T Sontag, M.D.
• Patricia T Sontag, NP
• Tominee Sorenson, PHARMD
• David Sorge, MD
• Sharon J Sormrud, SAC-IT
• Brooke Sosalla, OD
• South Eau Claire Rehabilitation and Nursing Center LLC
• Mark Southard, MD
• Southwoods Counseling Clinic, LLC
• Adeloye Omoyemi Soyege, MD

• Mental Health Counselor in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.