PA Houa Kiatoukaysi, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6036-125 Issued in WI

Practice address

2270 Holmgren Way
Green Bay, WI 54304-4710

Phone

(920) 733-2065

NPI assigned

Nov 9, 2012

Last updated

Feb 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bay Area Behavioral Health

  • Community/Behavioral Health Agency
  • Green Bay, WI
  • NPI 1881437754
  Medicare reassignment NPD

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1689928806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 HOLMGREN WAY",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543044710",
            "telephone_number": "920-733-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 HOLMGREN WAY",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543044710",
            "telephone_number": "920-733-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIATOUKAYSI",
        "first_name": "PA HOUA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-09",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6036-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Irshad Khan, MD
• Mujtaba Khan
• Shiza N Khan
• Shilpa Khot
• Vikas Khullar, M.D.
• Kids Dental Experts Partnership, LLC (Kids Dental Experts)
• Andrew David Kiefert, D.C.
• Nicole Anna Kieffer, D.O.
• Susan Kiehn
• Kristin Kiekhaefer

• Professional Counselor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.