Kimberley Lenning

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

15358-130 Issued in WI

Practice address

W20209 State Road 121
Whitehall, WI 54773

Phone

(715) 538-4312

Fax

(715) 538-2426

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972724136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W20209 STATE ROAD 121",
            "city": "WHITEHALL",
            "state": "WI",
            "postal_code": "54773",
            "telephone_number": "715-538-4312",
            "fax_number": "715-538-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W20209 STATE ROAD 121",
            "city": "WHITEHALL",
            "state": "WI",
            "postal_code": "54773",
            "telephone_number": "715-538-4312",
            "fax_number": "715-538-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENNING",
        "first_name": "KIMBERLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15358-130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "15358-130",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Marie Lancaster
• Tyson Brad Lang, RPH
• Shylana Larson, OTR/L
• Kristine Lee, RA
• Nicholas Lee
• Caitlin Marie Luttropp, PA-C
• Jeffrey J. Matthews, D.D.S.
• Paul Maulucci, NHA
• Julie J Meyers, APNC-APNP
• Douglas B Moericke, PA

• All providers in Whitehall, WI
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.