Suzette Kathryn Koebler, MS, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2839-125 Issued in WI

Practice address

1 South Main C/O Genesis Counseling Services
Janesville, WI 53547-8010

Phone

(608) 757-0404

Fax

(608) 757-2319

NPI assigned

Apr 20, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Genesis Counseling Services LTD.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Janesville, WI
  • NPI 1730273483
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821053943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 HOLLY DRIVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "53546",
            "telephone_number": "608-563-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SOUTH MAIN C/O GENESIS COUNSELING SERVICES",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535478010",
            "telephone_number": "608-757-0404",
            "fax_number": "608-757-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEBLER",
        "first_name": "SUZETTE",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "2839-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43552400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristi E Knuijt, MD
• Christine L. Knull, R.N.
• Marcia Kay Knutsen
• George W Koch
• Samuel David Koebe, MD
• Christopher M. Koenig, DO
• David Kohlmeyer, LPC
• Lauren Kolar, SLP
• Benno W Kollmansberger, LCSW, LPC
• Keith Konkol, MD

• Mental Health Counselor in Janesville, WI
• Providers in Janesville, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.