Katherin Almira Schultz, MS, LMFT, CSAC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1006-124 Issued in WI

Practice address

1541 Annex Rd
Jefferson, WI 53549-9655

Phone

(920) 674-7259

Fax

(920) 674-6133

NPI assigned

Jun 12, 2013

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

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

Specialty

Marriage and Family Therapist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jefferson CountyGroup PAC ID 2264496801, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Jefferson County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jefferson, WI
  • NPI 1275614919
  Medicare reassignment Care Compare group NPD
• Jefferson County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jefferson, WI
  • NPI 1578562286
  NPD

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1659719680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 ANNEX RD",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535499655",
            "telephone_number": "920-674-7259",
            "fax_number": "920-674-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 ANNEX RD",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535499655",
            "telephone_number": "920-674-7259",
            "fax_number": "920-674-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "KATHERIN",
        "middle_name": "ALMIRA",
        "name_prefix": "Ms.",
        "credential": "MS, LMFT, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16147-132",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1006-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis R. Ryan, LCSW, CSAC
• Auston D.J Salomaki
• Amanda Sass, MA, LPC
• Debra Lee Schoenike, LPN
• School District of Jefferson
• Dean Harley Schwieso I
• Elizabeth Anne Secrest, BS
• Select Integrity Family Services, LLC
• Cynthia Carolina Sepulveda Rodriguez, APNP
• Carrie Louise Shimkus, LPC

• Marriage & Family Therapist in Jefferson, WI
• Providers in Jefferson, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.