Kristi Anne Irving, MA, LPC, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5339-125 Issued in WI

Practice address

980 Maritime Dr Ste 6
Manitowoc, WI 54220-2962

Phone

(920) 733-2065

NPI assigned

Oct 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Mental Health Counselor

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CCP Clinic LLCGroup PAC ID 7214394022, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• CCP Clinic, LLC

  • Clinical Psychologist
  • De Pere, WI
  • NPI 1396431714

  Professional

  Medicare reassignment Care Compare group NPD
• Sherman Counseling Management, S.C.

  • Psychologist
  • Appleton, WI
  • NPI 1235251349
  NPD (past)

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1699319160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 HIDDEN HOLLOW LN",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542207166",
            "telephone_number": "630-632-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 MARITIME DR STE 6",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202962",
            "telephone_number": "920-733-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVING",
        "first_name": "KRISTI",
        "middle_name": "ANNE",
        "credential": "MA, LPC, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5339-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@shermanconsulting.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "980 Maritime Dr Ste 6",
            "city": "Manitowoc",
            "state": "WI",
            "country_code": "US",
            "postal_code": "542202962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Hulsey, OTR
• Aaron Thomas Huntley, PT
• Kelli Ann Hutchens, M.D.
• Wendy Hutterer
• Kim Hynek
• Gregory Shoichi Ishimoto, M.D.
• Kristy Lynn Jaeger, PTA
• Jaki Jahnke
• Erica Ann Helein Jansky, MS-CCC-SLP
• Scott Janus, M.D.

• Professional Counselor in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.