Individual provider Active NPI

Kristi N Windsperger, LPC, CSAC

  • Professional Counselor
  • Brookfield, WI
National Provider Identifier
1962567198
Registry record updated Jun 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5590-125 Issued in WI
Practice address
17100 W North Ave
Brookfield, WI 53005-4436
Phone
(262) 244-6178
Fax
(262) 299-3040
NPI assigned
Dec 27, 2006
Last updated
Jun 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2021

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 5590-125 WI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X

Addresses

Primary practice location

17100 W North Ave
Brookfield, WI 53005-4436

Mailing address

1035 W Glen Oaks LN Ste 110
Mequon, WI 53092-3392
Phone (262) 244-6178

Other identifiers 1

IdentifierTypeStateIssuer
42125500MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Brookfield Direct

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
I20240208003465 WI Practitioner - Mental Health Counselor 3779758909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Behavioral Clinics SCGroup PAC ID 7517937964, 46 clinicians

Practice addresses (Care Compare)

7330 W Layton Ave
Milwaukee, WI 53220-3849
Phone (414) 281-1677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5590-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Lutheran Child and Family Service Inc Professional CurrentSince Jan 1, 2024 Accepting new patients
American Behavioral Clinics, SC CurrentSince Nov 1, 2024 Accepting new patients
Wisconsin Lutheran Child & Family Service, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

370 Venture Dr
Dousman, WI 53118
Phone (262) 965-6910

W175N11120 Stonewood Dr
Germantown, WI 53022
Phone (262) 345-5533

7330 W Layton Ave
Milwaukee, WI 53220
Phone (414) 281-1677

9555 S Howell Ave
Oak Creek, WI 53154
Phone (262) 345-5560

Organizations & group practices 3

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624665600000",
    "number": "1962567198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 W GLEN OAKS LN STE 110",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923392",
            "telephone_number": "262-244-6178",
            "fax_number": "262-299-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 W NORTH AVE",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054436",
            "telephone_number": "262-244-6178",
            "fax_number": "262-299-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDSPERGER",
        "first_name": "KRISTI",
        "middle_name": "N",
        "credential": "LPC, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2021-06-26",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5590-125",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42125500",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Brookfield",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17100 W North Ave",
            "city": "Brookfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530054436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.