Active NPI
John Klem, PH.D., LPC
- Professional Counselor
- Menomonie, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7333-125
- Practice address
- 800 Wilson Ave RM 330
Menomonie, WI 54751-2746 - Phone
- (715) 256-7166
- NPI assigned
- Jun 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC04968 | MN | |
| Professional Counselor | 101YP2500X | 7333-125 | WI | Primary |
Addresses
Primary practice location
800 Wilson Ave RM 330
Menomonie, WI 54751-2746
Mailing address
800 Wilson Ave RM 330
Menomonie, WI 54751-2746
Phone (715) 256-7166
Other practice location 1
4330 Golf Ter Ste 209
Eau Claire, WI 54701-4688
Phone (715) 256-7166
Other practice location 2
6542 Regency Ln Ste 201
Eden Prairie, MN 55344-7848
Phone (715) 256-7166
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | simplepractice | Direct | Thrive Psychological and Consulting Services LLC |
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, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
800 Wilson Ave
RM 330
Menomonie, WI 54751-2746
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC04968 | MN | MD | Professional Counselor |
| 7333-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enigma Psychological Inc. | Current | Accepting new patients | |
| Thrive Psychological and Consulting Services LLC | Professional | Current | Accepting new patients |
Locations
6542 Regency Ln
Ste 201
Eden Prairie, MN 55344
Phone (612) 554-0100
6640 Shady Oak Rd
Ste 401
Eden Prairie, MN 55344
Phone (715) 256-7166
4330 Golf Ter
Ste 209
Eau Claire, WI 54701
Phone (715) 256-7166
800 Wilson Ave
Rm 330
Menomonie, WI 54751
Phone (715) 256-7166
Organizations & group practices 2
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.
-
- Professional Counselor
- Menomonie, WI
- NPI 1487383808
-
- Social Worker
- Fall Creek, WI
- NPI 1811407059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1558091322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 WILSON AVE RM 330",
"city": "MENOMONIE",
"state": "WI",
"postal_code": "547512746",
"telephone_number": "715-256-7166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WILSON AVE RM 330",
"city": "MENOMONIE",
"state": "WI",
"postal_code": "547512746",
"telephone_number": "715-256-7166"
}
],
"practiceLocations": [
{
"address_1": "4330 Golf Ter Ste 209",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547014688",
"country_code": "US",
"telephone_number": "715-256-7166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6542 Regency Ln Ste 201",
"address_purpose": "LOCATION",
"city": "Eden Prairie",
"state": "MN",
"postal_code": "553447848",
"country_code": "US",
"telephone_number": "715-256-7166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLEM",
"first_name": "JOHN",
"credential": "PH.D., LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-14",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC04968",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "7333-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "simplepractice",
"affiliation": "Y",
"endpointDescription": "EHR",
"affiliationName": "Thrive Psychological and Consulting Services LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "800 Wilson Ave",
"city": "Menomonie",
"state": "WI",
"country_code": "US",
"postal_code": "547512734",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Menomonie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.