Individual provider Active NPI

Kelly M Ringhand, SACT

  • Professional Counselor
  • Janesville, WI
National Provider Identifier
1629268354
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7725-125 Issued in WI
Practice address
4465 Milton Ave Ste 107
Janesville, WI 53546-9145
Phone
(608) 302-6395
NPI assigned
Jul 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 15205-130 WI
Professional Counselor 101YP2500X 7725-125 WI Primary

Addresses

Primary practice location

4465 Milton Ave Ste 107
Janesville, WI 53546-9145

Mailing address

4465 Milton Ave Ste 107
Janesville, WI 53546-9145
Phone (608) 302-6395

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
I20240228002300 WI Practitioner - Mental Health Counselor 9739524802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4465 Milton Ave
Suite 107
Janesville, WI 53546-9145
Phone (608) 302-6395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15205-130WIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered Therapy LLC CurrentSince Dec 11, 2023 Accepting new patients
Beloti Treatment Center Past Accepting new patients

Locations

4465 Milton Ave
Ste 107
Janesville, WI 53546
Phone (608) 302-6395

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1629268354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4465 MILTON AVE STE 107",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535469145",
            "telephone_number": "608-302-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 MILTON AVE STE 107",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535469145",
            "telephone_number": "608-302-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINGHAND",
        "first_name": "KELLY",
        "middle_name": "M",
        "credential": "SACT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "15205-130",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7725-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

Verify at the official NPI Registry.