Individual provider Active NPI

Kirsten Richards, MS, LPC, ATR

  • Professional Counselor
  • Glendale, WI
National Provider Identifier
1982220976
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8425-125 Issued in WI
Practice address
4655 N Port Washington Rd
Glendale, WI 53212-1004
Phone
(414) 292-4242
NPI assigned
Jun 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8425-125 WI Primary

Addresses

Primary practice location

4655 N Port Washington Rd
Glendale, WI 53212-1004

Mailing address

999 N 92ND St
Wauwatosa, WI 53226-4875
Phone (414) 266-7615

Other practice location 1

510 E Burleigh St
Milwaukee, WI 53212-2119
Phone (800) 438-1772

Other identifiers 1

IdentifierTypeStateIssuer
100102354MedicaidWI

Other names 1

  • Kirsten Kaat Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8425-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Lutheran Child & Family Service ,Inc. CurrentSince Feb 1, 2022 Accepting new patients
Wisconsin Lutheran Child & Family Service PastSince Jun 1, 2020 Accepting new patients
Wisconsin Lutheran Child and Family Service Inc Professional PastSince Jun 1, 2020 Accepting new patients

Locations

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

510 E Burleigh St
Milwaukee, WI 53212
Phone (262) 994-8452

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1982220976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N 92ND ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264875",
            "telephone_number": "414-266-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 N PORT WASHINGTON RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121004",
            "telephone_number": "414-292-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 E Burleigh St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532122119",
            "country_code": "US",
            "telephone_number": "800-438-1772",
            "fax_number": "262-345-5562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "KIRSTEN",
        "credential": "MS, LPC, ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8425-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100102354",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "KAAT",
            "credential": "MS, LPC, ATR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.