Kim D Bates, LPC-IT
Individual provider Active NPI Professional Counselor · Eau Claire, WI
NPI 1831777895 · NPPES record last updated Mar 31, 2021
Key facts
- NPI
- 1831777895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 2005 Highland Ave
Eau Claire, WI 54701-4455 - Phone
- (715) 832-5454
- NPI assigned
- Mar 31, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
2005 Highland Ave
Eau Claire, WI 54701-4455
Mailing address
2005 Highland Ave
Eau Claire, WI 54701-4455
Phone (715) 832-5454
Other providers in Eau Claire, WI
- Christine Anne Basley-Brudnicki
- Jenifer I Bassett
- Meegan Marie Bassett
- Sandeep K Basu
- Ephraim W. Batambuze
- Kirsten Bates
- Briana Brook Bathke
- Sameer Ahmad Batoo
- Christine H Batzer
- Dana Jean Bauer
All providers in Eau Claire, WI · Professional Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.