Individual provider Active NPI

Christina M Lachner, M.S., LPC-IT

  • Professional Counselor
  • West Bend, WI
National Provider Identifier
1700151636
Registry record updated Mar 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1339226 Issued in WI
Practice address
125 N 6TH Ave
Suite 201
West Bend, WI 53095-3394
Phone
(262) 334-4340
NPI assigned
Mar 10, 2012
Last updated
Mar 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1339226 WI Primary

Addresses

Primary practice location

125 N 6TH Ave
Suite 201
West Bend, WI 53095-3394

Mailing address

4640 County Line Rd
Colgate, WI 53017-9726
Phone (262) 227-1955

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240405002007 WI Practitioner - Mental Health Counselor 3870931108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Kettle Moraine Counseling LLCGroup PAC ID 8527353747, 20 clinicians

Practice addresses (Care Compare)

400 W River Dr
West Bend, WI 53090-1518
Phone 262334434013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1339226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kettle Moraine Counseling LLC CurrentSince Mar 25, 2024 Accepting new patients
Affiliated Clinical Services Inc PastSince Mar 25, 2024 Accepting new patients

Locations

7280 S 13th St
Ste 103
Oak Creek, WI 53154
Phone (262) 334-4340

400 W River Dr
West Bend, WI 53090
Phone (262) 334-4340

Organizations & group practices 2

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": "1331337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331337600000",
    "number": "1700151636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 COUNTY LINE RD",
            "city": "COLGATE",
            "state": "WI",
            "postal_code": "530179726",
            "telephone_number": "262-227-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N 6TH AVE",
            "address_2": "SUITE 201",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953394",
            "telephone_number": "262-334-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACHNER",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "credential": "M.S., LPC-IT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-10",
        "last_updated": "2012-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "1339226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bend, WI

Sources for this page

Verify at the official NPI Registry.