Krista Demuth LLC
Organization Active NPI Counselor · Hammond, WI
NPI 1891436366 · NPPES record last updated Aug 27, 2022
Key facts
- NPI
- 1891436366
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Counselor 101Y00000X
- Legal business name
- KRISTA DEMUTH LLC
- Practice address
- 815 Davis St
Hammond, WI 54015-9808 - Phone
- (612) 567-9881
- NPI assigned
- Apr 6, 2022
- Organization subpart
- No
Authorized official
- Name
- Krista J Demuth, MS, LPC
- Title
- Owner
- Phone
- (715) 410-1280
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083085914 | Medicaid | WI | |
| 100059323 | Medicaid | WI |
Other names
- Krista Demuth LLC
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kjdemuth@gmail.om | Direct |
Other providers in Hammond, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.