Kaileen McMickle, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3216-226 Issued in WI

Practice address

11 E Marshall St Ste 203
Rice Lake, WI 54868-1803

Phone

(715) 204-9095

NPI assigned

Sep 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Inner Ascent Counseling LLC

  • Mental Health Counselor
  • Rice Lake, WI
  • NPI 1619648375
  NPD Authorized official
• Marriage & Family Health Services, LTD.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Eau Claire, WI
  • NPI 1467649921

  Professional

  NPD (past)

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1548718463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 16 3/4 AVE",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548688706",
            "telephone_number": "715-204-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E MARSHALL ST STE 203",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681803",
            "telephone_number": "715-204-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMICKLE",
        "first_name": "KAILEEN",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3216-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Renee Mattson, CSAC
• Janice M McClelland
• Patricia A McGown
• Cheryl McMahon
• Austin McMannes, DDS
• Ashley Jo McWalter, PA
• Medical Staffing Solutions, Inc
• Charles Kent Meng, OD
• Cheri Fox Messick, CCC-SLP
• George G. Metropulos, P.T.

• Professional Counselor in Rice Lake, WI
• Providers in Rice Lake, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.