Kal Shore Wogahn, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11242-125 Issued in WI

Practice address

1882 E Main St Ste 202
Madison, WI 53704-5288

Phone

(608) 284-8271

NPI assigned

Jan 31, 2023

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kimberly Wogahn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1639875818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1882 E MAIN ST STE 202",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045288",
            "telephone_number": "608-284-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1882 E MAIN ST STE 202",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045288",
            "telephone_number": "608-284-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOGAHN",
        "first_name": "KAL",
        "middle_name": "SHORE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2023-01-31",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7220",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "11242-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES",
            "identifier": "11242-125",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "WOGAHN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicholas J Wittwer, MS, MFT
• Shannon R. Wixom, APRN
• Thomas R Wodushek, PHD
• Lauren Woelffer
• Jenna C Woestman, AU.D.
• Melissa Dawn Wohlers, LMSW
• Chad Wohlleben
• Myron M Wojtowycz, MD
• Allison Mae Woldt
• Sandra Wolens, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.