Active NPI
Kayla Lois Farner
- Professional Counselor
- Muskego, WI
National Provider Identifier
1669935755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 11180-125
- Practice address
- S78W20363 Pasadena Dr
Muskego, WI 53150-8138 - Phone
- (262) 344-4529
- NPI assigned
- Apr 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPCC14250 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT136983 | CA | |
| Professional Counselor | 101YP2500X | 11180-125 | WI | Primary |
Addresses
Primary practice location
S78W20363 Pasadena Dr
Muskego, WI 53150-8138
Mailing address
S78W20363 Pasadena Dr
Muskego, WI 53150-8138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 20, 2024 through Nov 20, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC14250 | CA | MD | Professional Counselor |
| 11180-125 | WI | MD | Professional Counselor |
| LMFT136983 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1669935755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "S78W20363 PASADENA DR",
"city": "MUSKEGO",
"state": "WI",
"postal_code": "531508138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "S78W20363 PASADENA DR",
"city": "MUSKEGO",
"state": "WI",
"postal_code": "531508138",
"telephone_number": "262-344-4529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARNER",
"first_name": "KAYLA",
"middle_name": "LOIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-07",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "LPCC14250",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT136983",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "11180-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskego, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.