Ketelhut Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4498125 Issued in WI

Legal business name

KETELHUT COUNSELING LLC

Practice address

1936B Algoma Blvd
Oshkosh, WI 54901-2104

Phone

(920) 948-9787

Fax

(920) 231-1755

NPI assigned

May 8, 2014

Last updated

May 8, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Shelly Lynn Ketelhut, LPC NCC CSACNPI 1184871378

Title

Owner/Therapist

Phone

(920) 948-9787

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shelly Lynn Ketelhut, MSE, NCC, CSAC

  • Addiction (Substance Use Disorder) Counselor
  • Oshkosh, WI
  • NPI 1184871378
  Authorized official Same address or phone

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1497166797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936B ALGOMA BLVD",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549012104",
            "telephone_number": "920-948-9787",
            "fax_number": "920-231-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936B ALGOMA BLVD",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549012104",
            "telephone_number": "920-948-9787",
            "fax_number": "920-231-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETELHUT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "KETELHUT",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "920-948-9787",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC NCC CSAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "15724132",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "4498125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Patrick Kelsey, DO
• Matthew J Kemnitz, DPM
• Emily Kempf
• Stephen G Kennebeck, PA-C
• Tisha M Kennebeck, PA-C
• Shelly Lynn Ketelhut, MSE, NCC, CSAC
• Jennifer Kettenhoven, LCSW
• Isna Khan
• Mohamad Y Khatib, MD
• Richard L Kiefer, MD

• Community/Behavioral Health Agency in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.