Kayla Frances Severson, MA, SAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

16324-131 Issued in WI

Practice address

840 State Road 136 Ste 1
Baraboo, WI 53913-9252

Phone

(608) 477-9858

Fax

(877) 560-0578

NPI assigned

Mar 23, 2016

Last updated

Mar 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Sauk County

  dba Sauk Co Health Care Center

  • Skilled Nursing Facility
  • Reedsburg, WI
  • NPI 1528056819
  Medicare reassignment NPD
• County of Sauk

  dba Sauk County Department of Human Services

  • Community/Behavioral Health Agency
  • Baraboo, WI
  • NPI 1508915323
  NPD
• Innervisions Counseling & Consulting Center, S.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baraboo, WI
  • NPI 1639402902

  Addiction (Substance Use Disorder)

  NPD
• Sauk County

  dba Sauk County Health Department

  • Public Health or Welfare Agency
  • Baraboo, WI
  • NPI 1962535088
  NPD

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1922460443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 STATE ROAD 136 STE 1",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539139252",
            "telephone_number": "084-779-8586",
            "fax_number": "877-560-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 STATE ROAD 136 STE 1",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539139252",
            "telephone_number": "608-477-9858",
            "fax_number": "877-560-0578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 State Road 136 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Baraboo",
            "state": "WI",
            "postal_code": "539139252",
            "country_code": "US",
            "telephone_number": "608-477-9858",
            "fax_number": "877-560-0578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEVERSON",
        "first_name": "KAYLA",
        "middle_name": "FRANCES",
        "name_prefix": "Mrs.",
        "credential": "MA, SAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16324-131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100079039",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Baraboo, WI
• Providers in Baraboo, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.