Active NPI
Kristine Hemauer, M.A., LSW
- Clinical Psychologist
- Hudson, WI
National Provider Identifier
1710212394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1376659201
- Practice address
- 2910 Enloe St
Suite 104
Hudson, WI 54016-4538 - Phone
- (715) 377-0000
- Fax
- (715) 377-0010
- NPI assigned
- Oct 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1376659201 | WI | Primary |
Addresses
Primary practice location
2910 Enloe St
Suite 104
Hudson, WI 54016-4538
Mailing address
2910 Enloe St.
Suite 104
Hudson, WI 54016
Phone (715) 377-0000
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1376659201 | WI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randi L. Erickson | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Croix Counseling & Psychology
- Psychologist
- Hudson, WI
- NPI 1376659201
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255564800000",
"number": "1710212394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 ENLOE ST.",
"address_2": "SUITE 104",
"city": "HUDSON",
"state": "WI",
"postal_code": "54016",
"telephone_number": "715-377-0000",
"fax_number": "715-377-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 ENLOE ST",
"address_2": "SUITE 104",
"city": "HUDSON",
"state": "WI",
"postal_code": "540164538",
"telephone_number": "715-377-0000",
"fax_number": "715-377-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEMAUER",
"first_name": "KRISTINE",
"name_prefix": "Mrs.",
"credential": "M.A., LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-15",
"last_updated": "2009-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "1376659201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hudson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.