Kristina Anne Fowler, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11431-125 Issued in WI

Practice address

2115 E Clairemont Ave Ste 2
Eau Claire, WI 54701-4761

Phone

(763) 210-9966

Fax

(763) 210-6886

NPI assigned

Aug 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Kaia Fowler Other name

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

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Collaborative Counseling LLCGroup PAC ID 3678711900, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Collaborative Counseling LLC

  • Mental Health Counselor
  • Maple Grove, MN
  • NPI 1598034324

  WI

  Medicare reassignment Care Compare group NPD
• Juneau County

  dba Juneau County Department of Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mauston, WI
  • NPI 1487691697
  Medicare reassignment NPD
• Juneau County

  dba Juneau Counth Health Dept

  • Public Health or Welfare Agency
  • Mauston, WI
  • NPI 1093872285
  NPD

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1548942287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N10863 COUNTY ROAD G",
            "city": "NECEDAH",
            "state": "WI",
            "postal_code": "546467959",
            "telephone_number": "920-728-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 E CLAIREMONT AVE STE 2",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014761",
            "telephone_number": "763-210-9966",
            "fax_number": "763-210-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "KRISTINA",
        "middle_name": "ANNE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "7353-226",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "11431-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "11431-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAIA",
            "last_name": "FOWLER",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael D Foreman, DO
• Forward Psychology
• Kathy Foster, LPN
• Timothy Ryan Foster, LPC
• Bradley Foulke, MD
• Lori Dawn Fox, APNP
• Nicole Rose Fox
• Brandon Scott Fraleigh, DPT
• John Robert Frame, D.O.
• Barbara Joan Frampton, APNP

• Professional Counselor in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.

Verify at the official NPI Registry.