Individual provider Active NPI

Kristine Scardina, LPC

  • Professional Counselor
  • Waukesha, WI
National Provider Identifier
1629822820
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8727-125 Issued in WI
Practice address
309 E North St
Waukesha, WI 53188-3718
Phone
(262) 408-2530
NPI assigned
Apr 15, 2024
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8727-125 WI Primary

Addresses

Primary practice location

309 E North St
Waukesha, WI 53188-3718

Mailing address

143 Harrison Ave
Waukesha, WI 53186-6247
Phone (262) 470-9580

Other names 1

  • Kristine Euer Former name

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
I20240612001226 WI Practitioner - Mental Health Counselor 5991247462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

309 E N St
Waukesha, WI 53188-3718
Phone (414) 672-1353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8727-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sixteenth Street Community Health Centers, Inc. CurrentSince Jun 3, 2024 Accepting new patients
16TH Street Community Health Center Inc. Current Accepting new patients

Locations

1032 S Cesar E Chavez Dr
Milwaukee, WI 53204

1635 W National Ave
Milwaukee, WI 53204
Phone (262) 408-5094

2906 S 20th St
Milwaukee, WI 53215
Phone (414) 645-0221

4570 S 27th St
Milwaukee, WI 53221
Phone (414) 325-8720

309 E North St
Waukesha, WI 53188
Phone (262) 408-2530

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1629822820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 HARRISON AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531866247",
            "telephone_number": "262-470-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E NORTH ST",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883718",
            "telephone_number": "262-408-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARDINA",
        "first_name": "KRISTINE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8727-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "EUER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.