Kristina L Seglah, CADC-II, CSAC, CSI-T

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

23-08-20313 Issued in OR

Practice address

412 S Andrews St
1/2
Shawano, WI 54166-2902

Phone

(971) 770-2728

NPI assigned

Mar 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Kristina L Fontaine Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Western Psychological and Counseling Services LLC

  dba LifeStance Health

  • Clinical Psychologist
  • Vancouver, WA
  • NPI 1629345731

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1861087439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 S. ANDREWS ST.",
            "address_2": "1/2",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "54166",
            "telephone_number": "971-400-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S ANDREWS ST",
            "address_2": "1/2",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662902",
            "telephone_number": "971-770-2728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W3272 Wolf River Dr",
            "address_purpose": "LOCATION",
            "city": "Keshena",
            "state": "WI",
            "postal_code": "541359202",
            "country_code": "US",
            "telephone_number": "715-799-3861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEGLAH",
        "first_name": "KRISTINA",
        "middle_name": "L",
        "credential": "CADC-II, CSAC, CSI-T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17191-133",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17255-132",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "22-QMHA-I-003390",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "23-08-20313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "FONTAINE",
            "middle_name": "L",
            "credential": "CADC-II",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Anne Schroeder, P.T.
• Julie T Schroeder, B.S.
• Cora Schultz
• Hillary Schultz, DNP, APNP, FNP-BC
• Christopher Secor
• Allison Marie Senzig, DNP, APNP, FNP-BC
• Rebecca Setterman, LCSW
• Shawano Ambulance Service, Inc.
• Shawano Clinic, Inc (ThedaCare Physicians Shawano)
• Shawano County Department of Community Program

• Addiction (Substance Use Disorder) Counselor in Shawano, WI
• Providers in Shawano, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.