Individual provider Active NPI

Sara Kind-Michels, MS, LPC, LMFT

  • Professional Counselor
  • Fitchburg, WI
National Provider Identifier
1992099667
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5387-125 Issued in WI
Practice address
2924 Marketplace Dr Ste 101
Fitchburg, WI 53719-5334
Phone
(608) 886-9595
Fax
(608) 960-7878
NPI assigned
May 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 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 5387-125 WI Primary

Addresses

Primary practice location

2924 Marketplace Dr Ste 101
Fitchburg, WI 53719-5334

Mailing address

2924 Marketplace Dr Ste 101
Fitchburg, WI 53719-5334
Phone (608) 886-9595

Other identifiers 1

IdentifierTypeStateIssuer
100036796MedicaidWI

Other names 1

  • Sara Kind Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 24, 2024 through May 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5387-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kind Therapy, LLC Current Accepting new patients

Locations

2924 Marketplace Dr
Ste 101
Fitchburg, WI 53719
Phone (608) 284-8885

700 Ray O Vac Dr
Ste 320
Madison, WI 53711
Phone (608) 520-0846

Organizations & group practices 1

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": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1992099667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 MARKETPLACE DR STE 101",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537195334",
            "telephone_number": "608-886-9595",
            "fax_number": "608-960-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 MARKETPLACE DR STE 101",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537195334",
            "telephone_number": "608-886-9595",
            "fax_number": "608-960-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIND-MICHELS",
        "first_name": "SARA",
        "credential": "MS, LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5387-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100036796",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "KIND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fitchburg, WI

Sources for this page

Verify at the official NPI Registry.