Active NPI
Kristine Merrill, MSW; LCSW
- Mental Health Counselor
- Poynette, WI
National Provider Identifier
1679539191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4372-123
- Practice address
- 415 N Main St
Suite 3
Poynette, WI 53955-8963 - Phone
- (608) 635-2146
- NPI assigned
- Apr 24, 2006
- Last updated
- Jul 13, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4372-123 | WI | Primary |
Addresses
Primary practice location
415 N Main St
Suite 3
Poynette, WI 53955-8963
Mailing address
415 N Main St
Suite 3
Poynette, WI 53955-8963
Phone (608) 635-2146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4372-123 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenbush Oaks, Inc | Past | Accepting new patients | |
| Psychology Clinic Inc. | Past | Accepting new patients | |
| Christianson Pfau Chiropractic LLC | Past | Accepting new patients | |
| Haag Mental Health Consulting, Inc. | Mental Health | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Prairie Du Sac, WI
- NPI 1437272341
-
dba Poynette Counseling & Psychotherapy Assoc
- Clinical Social Worker
- Poynette, WI
- NPI 1316190010
-
- Mental Health Counselor
- Poynette, WI
- NPI 1932100864
-
- Clinic/Center
- Madison, WI
- NPI 1336222769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1679539191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 N MAIN ST",
"address_2": "SUITE 3",
"city": "POYNETTE",
"state": "WI",
"postal_code": "539558963",
"telephone_number": "608-635-2146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N MAIN ST",
"address_2": "SUITE 3",
"city": "POYNETTE",
"state": "WI",
"postal_code": "539558963",
"telephone_number": "608-635-2146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRILL",
"first_name": "KRISTINE",
"credential": "MSW; LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "4372-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poynette, WI
- Michelle Marie Kaschinske, OTR
- Ira S Kastenberg, MD
- Madelyn Kleinschmidt
- Brook Landeo, LCSW
- Lou Ann Newby
- Melody Marie Music-Engels
- Brian Roger Olson, RPH
- Ortega-Jenna Psychotherapy and Consulting
- Poynette-Dekorra Fire Protection District (Poynette Dekorra Emergency Medical Service)
- Jakob Jerimiah Regal, PC-IT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.