Individual provider Active NPI

Kristine Merrill, MSW; LCSW

  • Mental Health Counselor
  • Poynette, WI
National Provider Identifier
1679539191
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4372-123 Issued in WI
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 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

LicenseStateTypeSpecialty
4372-123WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbush Oaks, Inc Past Accepting new patients
Psychology Clinic Inc. PastSince Mar 8, 2010 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.

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

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.

Verify at the official NPI Registry.