Individual provider Active NPI

John Klem, PH.D., LPC

  • Professional Counselor
  • Menomonie, WI
National Provider Identifier
1558091322
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7333-125 Issued in WI
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

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260323002534 WI Practitioner - Mental Health Counselor 4587148051 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
CC04968MNMDProfessional Counselor
7333-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Enigma Psychological Inc. CurrentSince Mar 11, 2026 Accepting new patients
Thrive Psychological and Consulting Services LLC Professional CurrentSince Jun 1, 2022 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.

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

Verify at the official NPI Registry.