Active NPI
Kimberly Anne Norden, PH.D.
- Clinical Psychologist
- Racine, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2052
- Practice address
- 1143 Warwick Way Unit a
Racine, WI 53406-5661 - Phone
- (262) 789-1191
- NPI assigned
- Jun 12, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2052 | WI | Primary |
| Psychologist | 103T00000X | 2052 | WI |
Addresses
Primary practice location
1143 Warwick Way Unit a
Racine, WI 53406-5661
Mailing address
7704 W Coventry Dr
Franklin, WI 53132-8521
Phone (414) 403-1062
Other practice location 1
4811 S 76th St Ste 208
Greenfield, WI 53220-4352
Phone (262) 789-1191
Other practice location 2
16535 W Bluemound Rd Ste 200
Brookfield, WI 53005-5906
Phone (262) 789-1191
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- State University of New York at Stony Brook, School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1135 Prairie Dr
Mount Pleasant, WI 53406-3973
Phone (262) 999-2792
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2052 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Counseling Services, Inc | Current | Accepting new patients |
Locations
16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909
10850 W Park Pl
Ste 100
Milwaukee, WI 53224
Phone (414) 361-4100
4811 S 76th St
Ste 208
Milwaukee, WI 53220
Phone (414) 361-1400
1143 Warwick Way
Unit A
Racine, WI 53406
Phone (414) 293-0251
Interoperability endpoints
- lifestancehealth.kimberlynorden@149809.advancedmd-direct.com
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.
-
- Mental Health Counselor
- Brookfield, WI
- NPI 1033127246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770336000000",
"number": "1760007009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7704 W COVENTRY DR",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531328521",
"telephone_number": "414-403-1062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1143 WARWICK WAY UNIT A",
"city": "RACINE",
"state": "WI",
"postal_code": "534065661",
"telephone_number": "262-789-1191"
}
],
"practiceLocations": [
{
"address_1": "4811 S 76th St Ste 208",
"address_purpose": "LOCATION",
"city": "Greenfield",
"state": "WI",
"postal_code": "532204352",
"country_code": "US",
"telephone_number": "262-789-1191",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16535 W Bluemound Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Brookfield",
"state": "WI",
"postal_code": "530055906",
"country_code": "US",
"telephone_number": "262-789-1191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORDEN",
"first_name": "KIMBERLY",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-12",
"last_updated": "2026-02-06",
"certification_date": "2026-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "2052",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "2052",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Racine, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.