Individual provider Active NPI

Marikathryn NMN Nooe, M.S.E.

  • Mental Health Counselor
  • Menasha, WI
National Provider Identifier
1487755989
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1244 Midway Rd # C
Menasha, WI 54952-1128
Phone
(920) 722-8150
Fax
(920) 722-0142
NPI assigned
Sep 26, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 Primary

Addresses

Primary practice location

1244 Midway Rd # C
Menasha, WI 54952-1128

Mailing address

1244 Midway Rd # C
Menasha, WI 54952-1128
Phone (920) 722-8150

Other identifiers 1

IdentifierTypeStateIssuer
43582300MedicaidWI

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
I20250513003781 WI Practitioner - Mental Health Counselor 4082132071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Wisconsin School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LK Anderson Consulting LLCGroup PAC ID 8325489438, 11 clinicians

Practice addresses (Care Compare)

325 N Commercial St
Neenah, WI 54956-2665
Phone (920) 725-1230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
LK Anderson Consulting LLC Mental Health CurrentSince Apr 3, 2025 Accepting new patients
Radiology Associates of the Fox Valley, SC PastSince Apr 3, 2025 Accepting new patients

Locations

145 W Wisconsin Ave
Neenah, WI 54956
Phone (920) 212-6050

325 N Commercial St
Neenah, WI 54956
Phone (920) 722-1583

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1487755989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 MIDWAY RD # C",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521128",
            "telephone_number": "920-722-8150",
            "fax_number": "920-722-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 MIDWAY RD # C",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521128",
            "telephone_number": "920-722-8150",
            "fax_number": "920-722-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOOE",
        "first_name": "MARIKATHRYN",
        "middle_name": "NMN",
        "name_prefix": "Ms.",
        "credential": "M.S.E.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43582300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menasha, WI

Sources for this page

Verify at the official NPI Registry.