Individual provider Active NPI

Kathleen D Pammer, LPC, CADC

  • Counselor
  • Sturgeon Bay, WI
National Provider Identifier
1952377640
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
3104-125 Issued in WI
Practice address
620 N 12TH Ave
Sturgeon Bay, WI 54235-1249
Phone
(920) 743-9554
NPI assigned
Feb 23, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3104-125 WI Primary

Addresses

Primary practice location

620 N 12TH Ave
Sturgeon Bay, WI 54235-1249

Mailing address

620 N 12TH Ave
Sturgeon Bay, WI 54235-1249
Phone (920) 743-9554

Other identifiers 1

IdentifierTypeStateIssuer
43589400MedicaidWI

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
3104-125WIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates of Door County, LLC Counselor Past Accepting new patients

Organizations & group practices 1

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1952377640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N 12TH AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351249",
            "telephone_number": "920-743-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N 12TH AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351249",
            "telephone_number": "920-743-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMMER",
        "first_name": "KATHLEEN",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LPC, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "3104-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43589400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgeon Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.