Individual provider Active NPI

Janice Kampa-Tews, LCSW

  • Mental Health Counselor
  • Kenosha, WI
National Provider Identifier
1881922300
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1832-123 Issued in WI
Practice address
6121 Green Bay Rd
Suite 220
Kenosha, WI 53142-2926
Phone
(262) 652-7222
Fax
(262) 652-1734
NPI assigned
Nov 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1832-123 WI Primary

Addresses

Primary practice location

6121 Green Bay Rd
Suite 220
Kenosha, WI 53142-2926

Mailing address

6121 Green Bay Rd
Suite 220
Kenosha, WI 53142-2926
Phone (262) 652-7222

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

LicenseStateTypeSpecialty
1832-123WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Consulting of Kenosha LLC PastSince May 16, 2014 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.

NPI Registry JSON

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1881922300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 GREEN BAY RD",
            "address_2": "SUITE 220",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422926",
            "telephone_number": "262-652-7222",
            "fax_number": "262-652-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 GREEN BAY RD",
            "address_2": "SUITE 220",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422926",
            "telephone_number": "262-652-7222",
            "fax_number": "262-652-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMPA-TEWS",
        "first_name": "JANICE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "1832-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.