Individual provider Active NPI

Kathryn Hepner, LPC, NCC

  • Mental Health Counselor
  • Lake Geneva, WI
National Provider Identifier
1720438336
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6913-125
Practice address
N3219 County Trunk H Ste E
Lake Geneva, WI 53147-7074
Phone
(262) 261-1409
Fax
(262) 324-6440
NPI assigned
Jun 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.011336
Professional Counselor 101YP2500X 178012043 IL
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 6913125 WI
Mental Health Counselor 101YM0800X 6913-125 Primary

Addresses

Primary practice location

N3219 County Trunk H Ste E
Lake Geneva, WI 53147-7074

Mailing address

1590 Elkhorn Rd
Ste E
Lake Geneva, WI 53147
Phone (262) 261-1409

Other practice location 1

1590 Elkhorn Rd.
Ste E
Lake Geneva, WI 53147
Phone (262) 261-1409

Other names 1

  • Katie Hepner Professional name

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
I20240328003850 WI Practitioner - Mental Health Counselor 1850739657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
National University of Arts and Sciences, Medical Department, 2005
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

N3219 County Trunk H
Suite E
Lake Geneva, WI 53147-7074
Phone (262) 261-1409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6913125WIMDMental Health Counselor
178012043ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lakes Counseling Center, LLC Mental Health CurrentSince May 11, 2018 Accepting new patients

Locations

N3219 County Trunk H
Ste E
Lake Geneva, WI 53147
Phone (262) 261-1409

1590 Elkhorn Rd
Ste E
Lake Geneva, WI 53147
Phone (262) 261-1409

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.

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1720438336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 ELKHORN RD",
            "address_2": "STE E",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "53147",
            "telephone_number": "262-261-1409",
            "fax_number": "262-324-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N3219 COUNTY TRUNK H STE E",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531477074",
            "telephone_number": "262-261-1409",
            "fax_number": "262-324-6440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1590 Elkhorn Rd.",
            "address_2": "STE E",
            "address_purpose": "LOCATION",
            "city": "Lake Geneva",
            "state": "WI",
            "postal_code": "53147",
            "country_code": "US",
            "telephone_number": "262-261-1409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEPNER",
        "first_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "180.011336",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178012043",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "6913125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "6913-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "HEPNER",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lake Geneva, WI

Sources for this page

Verify at the official NPI Registry.