Elizabeth Kroll, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9874-123 Issued in WI

Practice address

805 N 6TH St
Sheboygan, WI 53081-4113

Phone

(920) 457-8866

Fax

(920) 457-8867

NPI assigned

Jun 10, 2019

Last updated

Oct 23, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 5, 2024 through Jun 5, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Life Point Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Plymouth, WI
  • NPI 1407097371
  NPD (past)
• Northshore Clinic LLC

  • Adult Mental Health Clinic/Center
  • Sheboygan, WI
  • NPI 1154675924
  NPD (past)

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1871152256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N 6TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814113",
            "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": "805 N 6TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814113",
            "telephone_number": "920-457-8866",
            "fax_number": "920-457-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROLL",
        "first_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "12433",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "9874-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy E Krepsky, LPC, CSAC
• Beth Kreutzer, MD
• Tina Elizabeth Krimmer, OT-L
• Kris Huenink Counseling Services LLC (Huenink)
• Kris Huenink Counseling Services LLC
• Timothy S Kroneck, D.C.
• Amy Laurell Krueger, MS-CCC-SLP
• Linda Sue Krugel, RN.BSN
• Stephen J Krummel, MD
• Kellie Krupp, PHARM D

• Mental Health Counselor in Sheboygan, WI
• Providers in Sheboygan, 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 Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.