Kayla Tate

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

206 Court St
Chilton, WI 53014-1127

Phone

(920) 849-1400

NPI assigned

Jan 12, 2022

Last updated

Jan 12, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Calumet CountyGroup PAC ID 1254347586, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Calumet County

  • Mental Health Counselor
  • Chilton, WI
  • NPI 1902898406
  Medicare reassignment Care Compare group NPD
• Calumet County

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

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

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1861143737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 COURT ST",
            "city": "CHILTON",
            "state": "WI",
            "postal_code": "530141127",
            "telephone_number": "920-849-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 COURT ST",
            "city": "CHILTON",
            "state": "WI",
            "postal_code": "530141127",
            "telephone_number": "920-849-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Seeliger, RPH
• Matthew R Seyer, PHARM.D.
• Abby Sippel
• Smithgall Dialysis LLC (Chilton Dialysis)
• Thomas R Swenson
• Lisa M Taylor, LPN
• Shannon K Teska
• Pamela Jean Tews, R.D., C.D.
• Xiong Pao Thao, RPH
• Randy T Theiler, MD

• Mental Health Counselor in Chilton, WI
• Providers in Chilton, 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 Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.