Organization Active NPI

Krista Demuth LLC

  • Counselor
  • Hammond, WI
National Provider Identifier
1891436366
Registry record updated Aug 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
KRISTA DEMUTH LLC
Doing business as
Krista Demuth LLC
Practice address
815 Davis St
Hammond, WI 54015-9808
Phone
(612) 567-9881
NPI assigned
Apr 6, 2022
Last updated
Aug 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2022

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

Authorized official

Name
Krista J Demuth, MS, LPCNPI 1083085914
Title
Owner
Phone
(715) 410-1280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

815 Davis St
Hammond, WI 54015-9808

Mailing address

625 Klein Dr
Hammond, WI 54015-9798
Phone (715) 410-1280

Other names 1

  • Krista Demuth LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kjdemuth@gmail.om Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661558400000",
    "number": "1891436366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KLEIN DR",
            "city": "HAMMOND",
            "state": "WI",
            "postal_code": "540159798",
            "telephone_number": "715-410-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 DAVIS ST",
            "city": "HAMMOND",
            "state": "WI",
            "postal_code": "540159808",
            "telephone_number": "612-567-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTA DEMUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-08-27",
        "certification_date": "2022-08-27",
        "status": "A",
        "authorized_official_last_name": "DEMUTH",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-410-1280",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjdemuth@gmail.om",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "815 Davis St",
            "city": "Hammond",
            "state": "WI",
            "country_code": "US",
            "postal_code": "540159808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Krista Demuth LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Krista Demuth LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hammond, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2022; 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.