Kimberly Marie Kraeger, LCSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

129467-121 Issued in WI

Practice address

Waupaca County DHHS
811 Harding St
Waupaca, WI 54981

Phone

(715) 258-6305

Fax

(715) 258-6409

NPI assigned

Mar 23, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of WaupacaGroup PAC ID 1254348386, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• County of Waupaca

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waupaca, WI
  • NPI 1588631691
  Medicare reassignment Care Compare group NPD
• Erc Wisconsin, LLC

  • Adult Mental Health Clinic/Center
  • Wauwatosa, WI
  • NPI 1730853870
  NPD (past)

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1750743365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WAUPACA COUNTY DHHS",
            "address_2": "811 HARDING ST.",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "54981",
            "telephone_number": "715-258-6305",
            "fax_number": "715-258-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WAUPACA COUNTY DHHS",
            "address_2": "811 HARDING ST",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "54981",
            "telephone_number": "715-258-6305",
            "fax_number": "715-258-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAEGER",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "129467-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Koch Chiropractic and Wellness Center
• Gina M. Koch, D.C.
• Michael R. Koch, PT
• Zachary Donald Koepke, DPT
• Jessica Kossel, M.S., CCC-SLP
• Deborah Kraemer
• Cari Jo Kramer, AUD
• Joseph Kuchler, APNP
• Carol Kulaga, RPH
• Jennifer Marie Kundinger

• Professional Counselor in Waupaca, WI
• Providers in Waupaca, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.