Katelyn Rose Kotkosky, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7661-125 Issued in WI

Practice address

320 S Walnut St
Appleton, WI 54911-5918

Phone

(920) 832-5270

Fax

(920) 832-4767

NPI assigned

Mar 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Katelyn R. Herzfeldt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 18, 2026 through Feb 18, 2028

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katelyn.kotkosky.1@28621.direct.athenahealth.com

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.

• Calumet County

  • Public Health or Welfare Agency
  • Chilton, WI
  • NPI 1235903899
  NPD
• Calumet County

  • Community/Behavioral Health Agency
  • Chilton, WI
  • NPI 1902073067
  NPD
• Calumet County

  • Mental Health Counselor
  • Chilton, WI
  • NPI 1902898406
  NPD
• Optum Behavioral Care of Colorado, P.C.

  • Counseling Psychologist
  • Appleton, WI
  • NPI 1487424826
  NPD
• County of Outagamie

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Appleton, WI
  • NPI 1629138995
  NPD (past)

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1831693142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 LAKE COTTAGE CT",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549522500",
            "telephone_number": "920-832-5270",
            "fax_number": "920-832-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S WALNUT ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115918",
            "telephone_number": "920-832-5270",
            "fax_number": "920-832-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTKOSKY",
        "first_name": "KATELYN",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3758-226",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7661-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "HERZFELDT",
            "middle_name": "R.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leslie Koser
• Pamela A Kososki, LA.C, LMT
• Shannon L Koss, PAC
• Amanda Anne Kossak, M.D.
• Karyne Kosterman, SAC-IT
• Rochelle A Kottke, LCSW
• Brenda Kovach, R.PH.
• Kpsychotherapy LLC
• Lauren Renee Kraft, APNP
• Samantha Marie Kraft, LPC

• Professional Counselor in Appleton, WI
• Providers in Appleton, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• 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.

Verify at the official NPI Registry.