Individual provider Active NPI

Kristine A Feggestad, MS LPC

  • Mental Health Counselor
  • Sheboygan, WI
National Provider Identifier
1861569295
Registry record updated Sep 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3807 Issued in WI
Practice address
615 South 8TH St Ste 620
Northshore Clinic of Sheboygan Inc
Sheboygan, WI 53081
Phone
(920) 457-8866
Fax
(920) 457-8867
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3807 WI Primary

Addresses

Primary practice location

615 South 8TH St Ste 620
Northshore Clinic of Sheboygan Inc
Sheboygan, WI 53081

Mailing address

615 South 8TH St Ste 620
Northshore Clinic of Sheboygan Inc
Sheboygan, WI 53081
Phone (920) 457-8866

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506384000000",
    "number": "1861569295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 SOUTH 8TH ST STE 620",
            "address_2": "NORTHSHORE CLINIC OF SHEBOYGAN INC",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "53081",
            "telephone_number": "920-457-8866",
            "fax_number": "920-457-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SOUTH 8TH ST STE 620",
            "address_2": "NORTHSHORE CLINIC OF SHEBOYGAN INC",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "53081",
            "telephone_number": "920-457-8866",
            "fax_number": "920-457-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEGGESTAD",
        "first_name": "KRISTINE",
        "middle_name": "A",
        "credential": "MS LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2017-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; 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.