Organization Active NPI

Kathleen M. Kramer Dba Mequon Clinical Associates, LLC

  • Mental Health Counselor
  • Mequon, WI
National Provider Identifier
1801939913
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1607 Issued in WI
Legal business name
KATHLEEN M. KRAMER DBA MEQUON CLINICAL ASSOCIATES, LLC
Doing business as
Mequon Clinical Associates, LLC
Practice address
11501 N Port Washington Rd
Suite 202
Mequon, WI 53092-3465
Phone
(262) 241-7778
Fax
(262) 241-1012
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Jeannine M. Jeske
Title
Office Manager
Phone
(262) 241-7778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 1607 WI Primary

Addresses

Primary practice location

11501 N Port Washington Rd
Suite 202
Mequon, WI 53092-3465

Mailing address

11501 N Port Washington Rd
Suite 202
Mequon, WI 53092-3465
Phone (262) 241-7778

Other names 1

  • Mequon Clinical Associates, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

11501 N Port Washington Rd
Ste 202
Mequon, WI 53092
Phone (262) 241-7778

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1801939913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11501 N PORT WASHINGTON RD",
            "address_2": "SUITE 202",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923465",
            "telephone_number": "262-241-7778",
            "fax_number": "262-241-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 N PORT WASHINGTON RD",
            "address_2": "SUITE 202",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923465",
            "telephone_number": "262-241-7778",
            "fax_number": "262-241-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN M. KRAMER DBA MEQUON CLINICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "JESKE",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "262-241-7778"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "1607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mequon Clinical Associates, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.