Individual provider Active NPI

Keiko Leigh Knothe

  • Mental Health Counselor
  • La Crosse, WI
National Provider Identifier
1659880581
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
115 5TH Ave S Ste 507
La Crosse, WI 54601-4018
Phone
(651) 398-9599
Fax
(608) 782-4426
NPI assigned
Sep 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

115 5TH Ave S Ste 507
La Crosse, WI 54601-4018

Mailing address

115 5TH Ave S Ste 523
La Crosse, WI 54601-4018
Phone (608) 385-7668

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
I20250103002083 WI Practitioner - Mental Health Counselor 5991233918 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Counseling LLC CurrentSince Oct 10, 2024 Accepting new patients

Locations

115 5th Ave S
Ste 523
La Crosse, WI 54601
Phone (608) 397-0192

115 5th St S
Ste 507
La Crosse, WI 54601
Phone (608) 479-1325

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1659880581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 5TH AVE S STE 523",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014018",
            "telephone_number": "608-385-7668",
            "fax_number": "608-782-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 5TH AVE S STE 507",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014018",
            "telephone_number": "651-398-9599",
            "fax_number": "608-782-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOTHE",
        "first_name": "KEIKO",
        "middle_name": "LEIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-22",
        "last_updated": "2022-07-21",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.