Individual provider Active NPI

Teresa S Fluegel

  • Professional Counselor
  • Kenosha, WI
National Provider Identifier
1568045706
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
2901 35TH St Lowr Suiteb
Kenosha, WI 53140-5117
Phone
(262) 764-2459
Fax
(262) 558-0429
NPI assigned
May 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

2901 35TH St Lowr Suiteb
Kenosha, WI 53140-5117

Mailing address

2901 35TH St Lowr Suiteb
Kenosha, WI 53140-5117
Phone (262) 764-2459

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
I20240520001131 WI Practitioner - Mental Health Counselor 6103267398 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5605 Cambridge LN
Unit 2
Mount Pleasant, WI 53406-2889
Phone (262) 686-4157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Works LLC Professional CurrentSince May 5, 2024 Accepting new patients
Be Insightful Mental Health CurrentSince Mar 28, 2024 Accepting new patients
Creative Storm Therapy, LLC Professional PastSince Nov 1, 2022 Accepting new patients

Locations

2901 35th St
Lowr Suiteb
Kenosha, WI 53140
Phone (262) 764-2459

2901 35th St
Lowr
Kenosha, WI 53140
Phone (262) 652-6555

Organizations & group practices 3

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": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1568045706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 35TH ST LOWR SUITEB",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531405117",
            "telephone_number": "262-764-2459",
            "fax_number": "262-558-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 35TH ST LOWR SUITEB",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531405117",
            "telephone_number": "262-764-2459",
            "fax_number": "262-558-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUEGEL",
        "first_name": "TERESA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.