Kristina M. Mauk, LPC, SAC-IT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7566 Issued in WI

Practice address

500 N 3Rd St Ste 220
Wausau, WI 54403-4857

Phone

(715) 575-1421

Fax

(844) 927-0227

NPI assigned

Jan 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kristina Lechnir Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Arbor Mental Health Center

  • Clinical Psychologist
  • Wausau, WI
  • NPI 1366065351

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1780191973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 CHARLES ST",
            "city": "EDGAR",
            "state": "WI",
            "postal_code": "544269266",
            "telephone_number": "715-297-3827",
            "fax_number": "844-927-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N 3RD ST STE 220",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034857",
            "telephone_number": "715-575-1421",
            "fax_number": "844-927-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUK",
        "first_name": "KRISTINA",
        "middle_name": "M.",
        "credential": "LPC, SAC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "18261",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "LECHNIR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katrina Marie Mattek, PA-C
• Nanette Marie Matthews, PH.D.
• Sally S. Mattingly, M.D.
• Wendy J Mattlin, APNP
• Nicole A Mattson, RN
• Jill Walter Maxey, MS LPC
• Jenny Dodoy Maxwell, RDH
• Jocelyn D Mayer, MS BCBA LBA
• Nicole Mazzoleni
• Michael McAllister, DO

• All providers in Wausau, WI
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.