Active NPI
Kathleen L Harwood, LPC
- Mental Health Counselor
- Verona, WI
National Provider Identifier
1871054221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7038-125
- Practice address
- 6705 Wesner Rd
Verona, WI 53593-9178 - Phone
- (608) 620-3486
- NPI assigned
- Mar 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 7038-125 | WI | Primary |
Addresses
Primary practice location
6705 Wesner Rd
Verona, WI 53593-9178
Mailing address
409 N Mechanic St
Albany, WI 53502-9526
Phone (608) 436-0506
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376913129 | Other | WI | TYPE 2 |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7038-125 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In the Moment Child and Family Therapy, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Verona, WI
- NPI 1376913129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553731200000",
"number": "1871054221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 N MECHANIC ST",
"city": "ALBANY",
"state": "WI",
"postal_code": "535029526",
"telephone_number": "608-436-0506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6705 WESNER RD",
"city": "VERONA",
"state": "WI",
"postal_code": "535939178",
"telephone_number": "608-620-3486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARWOOD",
"first_name": "KATHLEEN",
"middle_name": "L",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-28",
"last_updated": "2019-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "7038-125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 2",
"identifier": "1376913129",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Verona, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.