Individual provider Active NPI

Kassidy Veness, LPC

  • Professional Counselor
  • Waukesha, WI
National Provider Identifier
1487347654
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11316 Issued in WI
Practice address
N14W23777 Stone Ridge Dr Ste 135
Waukesha, WI 53188-1164
Phone
(262) 701-7102
NPI assigned
Jun 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 11316 WI Primary

Addresses

Primary practice location

N14W23777 Stone Ridge Dr Ste 135
Waukesha, WI 53188-1164

Mailing address

2262 N 72ND St
Wauwatosa, WI 53213-1808
Phone (920) 948-4149

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11316WIMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerment Within LLC Mental Health CurrentSince Jun 4, 2023 Accepting new patients

Locations

N14W23777 Stone Ridge Dr
Ste 135
Waukesha, WI 53188
Phone (414) 279-9082

Organizations & group practices 1

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": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1487347654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2262 N 72ND ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131808",
            "telephone_number": "920-948-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N14W23777 STONE RIDGE DR STE 135",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881164",
            "telephone_number": "262-701-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENESS",
        "first_name": "KASSIDY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "11316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.