NPIMap

Organization Active NPI

Lotus Counseling, LLC

Doing business as Lotus

  • Clinical Social Worker
  • Janesville, WI
National Provider Identifier
1972077527
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LOTUS COUNSELING, LLC
Doing business as
Lotus
Practice address
32 S Main St
Janesville, WI 53545-3941
Phone
(608) 618-5560
Fax
(855) 277-9589
NPI assigned
Jan 16, 2019
Last updated
Oct 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Krystal A Conkle, MSW, LCSWNPI 1972041317
Title
Owner/Therapist
Phone
(608) 618-5560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

32 S Main St
Janesville, WI 53545-3941

Mailing address

32 S Main St
Janesville, WI 53545-3941
Phone (608) 618-5560

Other names 1

  • Lotus Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231207003288 WI Part B Supplier - Clinic/Group Practice 1658720263 Receives reassigned benefits from 4 practitioners
Practice locations: Janesville, WI

National Provider Directory

National Provider Directory

Locations

4450 Milton Ave
Ste 206
Janesville, WI 53546
Phone (608) 618-5560

23 N Main St
Janesville, WI 53545
Phone (608) 618-5560

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1972077527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 S MAIN ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535453941",
            "telephone_number": "608-618-5560",
            "fax_number": "855-277-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 S MAIN ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535453941",
            "telephone_number": "608-618-5560",
            "fax_number": "855-277-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "CONKLE",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "608-618-5560",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lotus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lotus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.