Active NPI
Kathryn Endsley, LPC
- Professional Counselor
- St Francis, WI
National Provider Identifier
1871209544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8434-125
- Practice address
- 4200 S Lake Dr Unit 134
St Francis, WI 53235-5962 - Phone
- (920) 627-8050
- NPI assigned
- Jan 26, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | 00342392 | WI | |
| Professional Counselor | 101YP2500X | 8434-125 | WI | Primary |
Addresses
Primary practice location
4200 S Lake Dr Unit 134
St Francis, WI 53235-5962
Mailing address
4200 S Lake Dr Unit 134
St Francis, WI 53235-5962
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 |
|---|---|---|---|
| 8434-125 | WI | MD | Professional Counselor |
| 00342392 | WI | MD | Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1871209544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 S LAKE DR UNIT 134",
"city": "ST FRANCIS",
"state": "WI",
"postal_code": "532355962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 S LAKE DR UNIT 134",
"city": "ST FRANCIS",
"state": "WI",
"postal_code": "532355962",
"telephone_number": "920-627-8050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENDSLEY",
"first_name": "KATHRYN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-26",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "WI",
"license": "00342392",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "8434-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Francis, WI
- Gina Sorina Dorneanu, MD
- Aaliyah Camille Dorsey-Brown, FNP
- Annette Denise Dowery
- Lawrence Dubin, M.D.
- Ryanne Edwards, APNP-BC
- Brenda Enslin, LDH
- Abdinasir Dahir Farah Jr.
- Joshua H Finkle, MD
- Fresenius Medical Care Midwest Dialysis, LLC (Fresenius Medical Care Midwest Lakeshore)
- Justin E Friske, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.