Active NPI
Kathryn Marie Stingl, LCPC, CRC
- Professional Counselor
- Jefferson, WI
National Provider Identifier
1821598491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.010840
- Practice address
- 115 S Fischer Ave
Jefferson, WI 53549-2123 - Phone
- (715) 437-0114
- NPI assigned
- Feb 20, 2018
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.010840 | IL | Primary |
| Professional Counselor | 101YP2500X | .0014220 | CO |
Addresses
Primary practice location
115 S Fischer Ave
Jefferson, WI 53549-2123
Mailing address
115 S Fischer Ave
Jefferson, WI 53549-2123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| .0014220 | CO | MD | Professional Counselor |
| 180.010840 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519084800000",
"number": "1821598491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 S FISCHER AVE",
"city": "JEFFERSON",
"state": "WI",
"postal_code": "535492123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 S FISCHER AVE",
"city": "JEFFERSON",
"state": "WI",
"postal_code": "535492123",
"telephone_number": "715-437-0114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STINGL",
"first_name": "KATHRYN",
"middle_name": "MARIE",
"credential": "LCPC, CRC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-20",
"last_updated": "2018-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.010840",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": ".0014220",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson, WI
- Sport & Spine Clinic of Fort Atkinson Limited Partnership
- St. Coletta of Wisconsin
- St. Coletta of Wisconsin, Inc.
- St. Marys Dean Ventures Inc.
- Sarah Emily Stewart, APNP
- Andrea Marian Stotesbery
- Kenneth William Strege, PEER SUPPORT
- Sarah Falk Sullivan, MA
- Jamie Jo Tegt, LCSW
- Teipner Treatment Homes, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.