Individual provider Active NPI

Kayla Marie Seitz, LCSW

  • Clinical Social Worker
  • Mauston, WI
National Provider Identifier
1861964249
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
522 Gateway Ave Ste F
Mauston, WI 53948-1450
Phone
(608) 285-2133
Fax
(608) 285-2133
NPI assigned
Dec 22, 2018
Last updated
Nov 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

522 Gateway Ave Ste F
Mauston, WI 53948-1450

Mailing address

522 Gateway Ave Ste F
Mauston, WI 53948-1450
Phone (608) 285-2133

Other practice location 1

124 Grayside Ave
Mauston, WI 53948-1913
Phone (608) 350-1135

Other identifiers 1

IdentifierTypeStateIssuer
1000097307MedicaidWI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250320002412 WI Practitioner - Mental Health Counselor 5496277311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart Line Counseling and ConsultingGroup PAC ID 9032631957, 3 clinicians

Practice addresses (Care Compare)

522 Gateway Ave
Suite F
Mauston, WI 53948-1450
Phone (608) 285-2133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Line Counseling and Consulting Clinical CurrentSince Jun 11, 2021 Accepting new patients

Locations

205 5th Ave S
Ste 400
La Crosse, WI 54601
Phone (608) 377-3864

522 Gateway Ave
Ste F
Mauston, WI 53948
Phone (608) 285-2133

1001 W Glen Oaks Ln
Ste 105
Mequon, WI 53092
Phone (414) 258-8314

129 E Bridge St
Ste 1
New Lisbon, WI 53950
Phone (608) 377-3864

402 S Black River St
Ste 145
Sparta, WI 54656
Phone (608) 377-3864

1016 Superior Ave
Tomah, WI 54660
Phone (608) 377-3864

504 S Main St
Viroqua, WI 54665
Phone (608) 377-3864

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1545436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1861964249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 GATEWAY AVE STE F",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481450",
            "telephone_number": "608-285-2133",
            "fax_number": "608-716-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 GATEWAY AVE STE F",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481450",
            "telephone_number": "608-285-2133",
            "fax_number": "608-285-2133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Grayside Ave",
            "address_purpose": "LOCATION",
            "city": "Mauston",
            "state": "WI",
            "postal_code": "539481913",
            "country_code": "US",
            "telephone_number": "608-350-1135",
            "fax_number": "608-350-1288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEITZ",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-22",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000097307",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mauston, WI

Sources for this page

Verify at the official NPI Registry.