Active NPI
Caitlin Michalski, MA. LPC
- Professional Counselor
- West Bend, WI
National Provider Identifier
1538812227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5048-226
- Practice address
- 520 Locust Dr
West Bend, WI 53095-3924 - Phone
- (262) 707-4519
- NPI assigned
- Feb 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 5048-226 | WI | Primary |
Addresses
Primary practice location
520 Locust Dr
West Bend, WI 53095-3924
Mailing address
520 Locust Dr
West Bend, WI 53095-3924
Phone (262) 707-4519
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 5, 2024 through Jan 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5048-226 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1538812227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 LOCUST DR",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530953924",
"telephone_number": "262-707-4519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 LOCUST DR",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530953924",
"telephone_number": "262-707-4519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHALSKI",
"first_name": "CAITLIN",
"credential": "MA. LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-02",
"last_updated": "2023-12-28",
"certification_date": "2022-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "5048-226",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.