Active NPI
Kristine A Feggestad, MS LPC
- Mental Health Counselor
- Sheboygan, WI
National Provider Identifier
1861569295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3807
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.