Jacob Kumpfer, LMFT-IT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

578-228 Issued in WI

Practice address

810 Lincoln St
Kewaunee, WI 54216-1140

Phone

(920) 388-7030

NPI assigned

Jun 23, 2017

Sex

Male

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

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

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.

• County of Kewaunee

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kewaunee, WI
  • NPI 1366431173
  Medicare reassignment NPD
• County of Kewaunee

  • Public Health or Welfare Agency
  • Kewaunee, WI
  • NPI 1710909775
  NPD

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1619497344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 LINCOLN ST",
            "city": "KEWAUNEE",
            "state": "WI",
            "postal_code": "542161140",
            "telephone_number": "920-388-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 LINCOLN ST",
            "city": "KEWAUNEE",
            "state": "WI",
            "postal_code": "542161140",
            "telephone_number": "920-388-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMPFER",
        "first_name": "JACOB",
        "credential": "LMFT-IT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "578-228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kewaunee Care Center LLC
• Kewaunee Chiropractic Works LLC
• Kewaunee Hometown Pharmacy LLC
• Kewaunee School District
• Kelly J Kovnesky, LPC-IT
• Lakeshore Vision Centers LTD
• Robin Lambrecht, LPC
• Shanna Larochelle
• Carol Jean Lenius, ECEEN BS EDUCATION
• Shawn R Leonardson, BS

• Marriage & Family Therapist in Kewaunee, WI
• Providers in Kewaunee, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.