Active NPI
Katherine Elizabeth Gatlin, LPC
- Professional Counselor
- Oconomowoc, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8474-125
- Practice address
- 1482 Mamerow LN W
Oconomowoc, WI 53066-4192 - Phone
- (262) 939-2590
- NPI assigned
- Apr 20, 2022
- Last updated
- Apr 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8474-125 | WI | Primary |
Addresses
Primary practice location
1482 Mamerow LN W
Oconomowoc, WI 53066-4192
Mailing address
1482 Mamerow LN W
Oconomowoc, WI 53066-4192
Phone (262) 939-2590
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17100 W N Ave
Suite 300
Brookfield, WI 53005-4436
Phone (262) 244-6177
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Counseling Services, Inc | Current | Accepting new patients |
Locations
16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909
17100 W North Ave
Ste 300
Brookfield, WI 53005
Phone (262) 244-6177
1143 Warwick Way
Racine, WI 53406
Phone (262) 321-0110
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba LifeStance Health
- Mental Health Counselor
- Brookfield, WI
- NPI 1033127246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1518600121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1482 MAMEROW LN W",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530664192",
"telephone_number": "262-939-2590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1482 MAMEROW LN W",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530664192",
"telephone_number": "262-939-2590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATLIN",
"first_name": "KATHERINE",
"middle_name": "ELIZABETH",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-20",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "8474-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oconomowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.