Individual provider Active NPI

Chloe J Kierszh, LPC

  • Professional Counselor
  • Appleton, WI
National Provider Identifier
1740796390
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7490-125 Issued in WI
Practice address
424 E Longview Dr Ste a
Appleton, WI 54911-2167
Phone
(920) 234-9240
Fax
(920) 364-2609
NPI assigned
Dec 19, 2017
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Counselor 101Y00000X 3801-226 WI
Professional Counselor 101YP2500X 7490-125 WI Primary

Addresses

Primary practice location

424 E Longview Dr Ste a
Appleton, WI 54911-2167

Mailing address

424 E Longview Dr Ste a
Appleton, WI 54911-2167
Phone (920) 234-9240

Other names 1

  • Chloe J Tauber 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
I20260310000683 WI Practitioner - Mental Health Counselor 7315420205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
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)

3301 Packerland Dr
Suite B
De Pere, WI 54115-9533
Phone (920) 234-9240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3801-226WIMDCounselor
7490-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CCP Clinic, LLC Professional CurrentSince Feb 26, 2026 Accepting new patients

Locations

424 E Longview Dr
Appleton, WI 54911
Phone (920) 234-9240

424 E Longview Dr
Ste A
Appleton, WI 54911
Phone (920) 234-9240

3301 Packerland Dr
Ste B
De Pere, WI 54115
Phone (920) 234-9240

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, 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": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1740796390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 E LONGVIEW DR STE A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549112167",
            "telephone_number": "920-234-9240",
            "fax_number": "920-364-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 E LONGVIEW DR STE A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549112167",
            "telephone_number": "920-234-9240",
            "fax_number": "920-364-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERSZH",
        "first_name": "CHLOE",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "3801-226",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7490-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHLOE",
            "last_name": "TAUBER",
            "middle_name": "J",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.