Catherine Hetzel

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

300 N 3Rd St Ste 112
Watertown, WI 53094-3723

Phone

(920) 545-4357

Fax

(920) 390-4272

NPI assigned

Jun 25, 2020

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inner Haven Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
  • NPI 1225780422
  NPD (past)
• Serenity Mental Health Services, LLC

  • Mental Health Counselor
  • Watertown, WI
  • NPI 1285290692
  NPD (past)

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1629695671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N52W14205 ABERDEEN DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530516865",
            "telephone_number": "414-902-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N 3RD ST STE 112",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530943723",
            "telephone_number": "920-545-4357",
            "fax_number": "920-390-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETZEL",
        "first_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nina@serenitytherapyclinic.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Serenity Mental Health Services, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "300 N 3rd St Ste 112",
            "city": "Watertown",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530943723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amber Rose Hendriksen, NP
• Heritage Assisted Living of Watertown, LLC (Heritage Homes Assisted Living)
• Shandell Lee Herrick, FNP-BC
• Desiree Monik Herron, O.D.
• Gwen Herzog, RN
• Angela Hill, OTR
• Nicholas Earl Hoening, PT
• Richard C Holden, M.D.
• Edward J Hoy, MD
• Nicole L Huggett, D.D.S.

• Professional Counselor in Watertown, WI
• Providers in Watertown, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.