Individual provider Active NPI

Philip A Koestler, LPC

  • School Psychologist
  • Eau Claire, WI
National Provider Identifier
1902812753
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
K234000050327 Issued in WI
Practice address
3119 Golf Rd
Eau Claire, WI 54701-7006
Phone
(715) 832-1678
Fax
(715) 832-6680
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 686-125 WI
School Psychologist 103TS0200X K234000050327 WI Primary

Addresses

Primary practice location

3119 Golf Rd
Eau Claire, WI 54701-7006

Mailing address

3119 Golf Rd
Eau Claire, WI 54701-7006
Phone (715) 832-1678

Other identifiers 1

IdentifierTypeStateIssuer
39285200MedicaidWI

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
686-125WIMDProfessional Counselor
K234000050327WIMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1902812753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 GOLF RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017006",
            "telephone_number": "715-832-1678",
            "fax_number": "715-832-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 GOLF RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017006",
            "telephone_number": "715-832-1678",
            "fax_number": "715-832-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOESTLER",
        "first_name": "PHILIP",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "686-125",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "WI",
            "license": "K234000050327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39285200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.