Individual provider Active NPI

Katelyn Oellerich

  • Mental Health Counselor
  • Platteville, WI
National Provider Identifier
1730869645
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7749226 Issued in WI
Practice address
1250 E Business Highway 151 Ste D
Platteville, WI 53818-3875
Phone
(608) 470-2200
NPI assigned
Jul 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7749226 WI Primary

Addresses

Primary practice location

1250 E Business Highway 151 Ste D
Platteville, WI 53818-3875

Mailing address

5972 State Road 39
Mineral Point, WI 53565-9079

Other names 1

  • Katelyn Johnson Former 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
I20260309000063 WI Practitioner - Mental Health Counselor 9830671825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1250 E Business Hwy 151
Suite D
Platteville, WI 53818-3875

5972 State Rd
Suite 39
Mineral Point, WI 53565-9079

PO Box
Suite 632
Platteville, WI 53818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7749226WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Driftless Area Behavioral Services, LLC CurrentSince Mar 4, 2026 Accepting new patients
CWM Counseling LLC PastSince Jun 19, 2024 Accepting new patients

Locations

1250 E Business Highway 151
Ste D
Platteville, WI 53818
Phone (608) 470-2200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1730869645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5972 STATE ROAD 39",
            "city": "MINERAL POINT",
            "state": "WI",
            "postal_code": "535659079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E BUSINESS HIGHWAY 151 STE D",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538183875",
            "telephone_number": "608-470-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OELLERICH",
        "first_name": "KATELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7749226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "JOHNSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Platteville, WI

Sources for this page

Verify at the official NPI Registry.