Individual provider Active NPI

Katelyn Zachrison, LPC

  • Professional Counselor
  • Amery, WI
National Provider Identifier
1487323093
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10951-125 Issued in WI
Practice address
230 Deronda St
Amery, WI 54001-1412
Phone
(715) 268-8000
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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 10951-125 WI Primary
Mental Health Counselor 101YM0800X 10951-125 WI

Addresses

Primary practice location

230 Deronda St
Amery, WI 54001-1412

Mailing address

1752 Dorset LN
New Richmond, WI 54017-2452
Phone (715) 246-8260

Other practice location 1

1752 Dorset Ln
New Richmond, WI 54017-2452
Phone (715) 246-8377

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
I20240605002388 WI Practitioner - Mental Health Counselor 4789126764 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Croix CountyGroup PAC ID 3779676044, 9 clinicians

Practice addresses (Care Compare)

1752 Dorset LN
New Richmond, WI 54017-2452
Phone (715) 246-6991

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Croix County CurrentSince May 22, 2024 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Dec 23, 2025 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Jan 12, 2026 Accepting new patients
St Croix County Current Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Dec 23, 2025 Accepting new patients

Locations

265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301

230 Deronda St
Deronda, WI 54001
Phone (715) 268-0060

1445 N 4th St
New Richmond, WI 54017
Phone (715) 246-6991

1752 Dorset Ln
New Richmond, WI 54017
Phone (715) 246-6991

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1487323093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 DORSET LN",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540172452",
            "telephone_number": "715-246-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 DERONDA ST",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011412",
            "telephone_number": "715-268-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1752 Dorset Ln",
            "address_purpose": "LOCATION",
            "city": "New Richmond",
            "state": "WI",
            "postal_code": "540172452",
            "country_code": "US",
            "telephone_number": "715-246-8377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZACHRISON",
        "first_name": "KATELYN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10951-125",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "10951-125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amery, WI

Sources for this page

Verify at the official NPI Registry.