Children'S Hospital of Wisconsin

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CHILDREN'S HOSPITAL OF WISCONSIN

Practice address

8800 Washington Ave
Mount Pleasant, WI 53406-3701

Phone

(262) 664-7423

NPI assigned

Nov 6, 2020

Organization subpart

No

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

Authorized official

Name

Katrina Marie Kiefer, LPC

Title

Child and Family Therapist II

Phone

(262) 994-6884

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1962003707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 WASHINGTON AVE",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534063701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 WASHINGTON AVE",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534063701",
            "telephone_number": "262-664-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL OF WISCONSIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "KIEFER",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHILD AND FAMILY THERAPIST II",
        "authorized_official_telephone_number": "262-994-6884",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Rae Cernak, D.P.M.
• Sharee Lanee Chance-Lawson, D.O.
• Suhas Channappa, M.D.,
• Chelsea Logan Chatman-Zierk, RDH
• Ruth Chiapetta Kulbacki, OTR/L
• Children'S Medical Group
• Children'S Service Society of Wisconsin
• Chiro One Wellness Center of Mount Pleasant LLC
• Naweed Chowdhury, M.D.
• Joshua Chrisopulos, PA-C

• Professional Counselor in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.