Individual provider Active NPI

Kory Miller

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1912640566
Registry record updated Mar 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11621-125 Issued in WI
Practice address
5315 Wall St Ste 200
Madison, WI 53718-7937
Phone
(608) 889-7173
NPI assigned
Apr 20, 2022
Last updated
Mar 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2025

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 11621-125 WI Primary

Addresses

Primary practice location

5315 Wall St Ste 200
Madison, WI 53718-7937

Mailing address

1360 Regent St Ste 133
Madison, WI 53715-1255
Phone (608) 889-7173

Other practice location 1

2727 N Grandview Blvd Ste 200
Waukesha, WI 53188-1671
Phone (262) 547-5567

Other names 1

  • Kory Scherer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250403001866 WI Practitioner - Mental Health Counselor 4284158908 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Counseling Center, LLC Mental Health CurrentSince Mar 31, 2025 Accepting new patients
Family Service Agency of Waukesha County Inc Mental Health CurrentSince Apr 1, 2022 Accepting new patients

Locations

1360 Regent St
Madison, WI 53715
Phone (608) 889-7173

5315 Wall St
Ste 200
Madison, WI 53718
Phone (608) 889-7173

2727 N Grandview Blvd
Ste 200
Waukesha, WI 53188
Phone (262) 542-6755

2727 N Grandview Blvd
Ste 205
Waukesha, WI 53188
Phone (262) 547-5567

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742083200000",
    "number": "1912640566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 REGENT ST STE 133",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151255",
            "telephone_number": "608-889-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 WALL ST STE 200",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537187937",
            "telephone_number": "608-889-7173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2727 N Grandview Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531881671",
            "country_code": "US",
            "telephone_number": "262-547-5567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KORY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2025-03-16",
        "certification_date": "2025-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "11621-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KORY",
            "last_name": "SCHERER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.