Kayla Petersen, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10761 Issued in WI

Practice address

331 S Main St Ste H
Rice Lake, WI 54868-2253

Phone

(715) 236-8500

NPI assigned

Jan 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

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

Interoperability endpoints

• Direct secure messaging: kpetersen375221@ewd.direct.hshs.org
• Direct secure messaging: kpetersen2532926@ehrdirect.mayoclinicmsg.org

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.

• Aurora Counseling Centers Employee Support Systems, Inc.

  • Professional Counselor
  • Menomonie, WI
  • NPI 1437240868

  Mental Health

  Medicare reassignment NPD
• Mayo Clinic Health System-Northwest Wisconsin Region, Inc.

  • Multi-Specialty Clinic/Center
  • Eau Claire, WI
  • NPI 1235588831
  Medicare reassignment NPD
• Mayo Clinic Health System-Northwest Wisconsin Region, Inc.

  • Critical Access Hospital
  • Barron, WI
  • NPI 1740239557
  Medicare reassignment NPD
• Mayo Clinic Health System-Northwest Wisconsin Region, Inc.

  • Rural Health Clinic/Center
  • Mondovi, WI
  • NPI 1174116669
  NPD
• Mayo Clinic Health System-Northwest Wisconsin Region, Inc.

  • Multi-Specialty Clinic/Center
  • Menomonie, WI
  • NPI 1235666967
  NPD
• Midwest Wellness Inc.

  • Professional Counselor
  • West Bend, WI
  • NPI 1427834654
  NPD
• Clinic for Christian Counseling LLC

  • Community/Behavioral Health Agency
  • Eau Claire, WI
  • NPI 1720135932
  NPD (past)

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1649921362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860912",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860912",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 S MAIN ST STE H",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548682253",
            "telephone_number": "715-236-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Lake Ave W",
            "address_purpose": "LOCATION",
            "city": "Ladysmith",
            "state": "WI",
            "postal_code": "548481062",
            "country_code": "US",
            "telephone_number": "920-496-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 Decorah Rd",
            "address_purpose": "LOCATION",
            "city": "West Bend",
            "state": "WI",
            "postal_code": "530958112",
            "country_code": "US",
            "telephone_number": "715-651-1368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "KAYLA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5196226",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "10761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpetersen375221@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1101 Lake Ave W",
            "city": "Ladysmith",
            "state": "WI",
            "country_code": "US",
            "postal_code": "548481062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpetersen2532926@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "331 S Main St Ste H",
            "city": "Rice Lake",
            "state": "WI",
            "country_code": "US",
            "postal_code": "548682253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas Michael Pelant, M.D.
• Michelle J Perlick, PT
• Meghan C. Pesko, M.D.
• Jacob Peters, DPT
• James M Peters, DO
• Marjorie Mary Peterson, COTA
• Thomas L Peterson, MD
• Philip S. Henkel, M.D., S.C.
• Piic Clinical Services
• Point of Prosperity, LLC

• Mental Health Counselor in Rice Lake, WI
• Providers in Rice Lake, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.