Kristi Paulsen, MS, SAC-IT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6858 Issued in WI

Practice address

575 Lester Ave Ste 100
Onalaska, WI 54650-8695

Phone

(608) 783-1452

Fax

(608) 783-1456

NPI assigned

Jan 3, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Living Well Christian Family Clinic, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Onalaska, WI
  • NPI 1447428719
  NPD (past)

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1992240709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LESTER AVE",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 LESTER AVE STE 100",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508695",
            "telephone_number": "608-783-1452",
            "fax_number": "608-783-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSEN",
        "first_name": "KRISTI",
        "name_prefix": "Mrs.",
        "credential": "MS, SAC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6858",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17886",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100045005",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Parslow, MS, LPC-IT
• Khyati Harsh Patel, MBBS
• Ruchi Patel, PHARM.D
• Katelyn Nicole Patten, MS, LPC
• Mark J Patterson, MD
• Nathan Harold Peck
• Leo Matthew Pedretti
• Jason Pendleton, D.D.S
• Matt Penzenstadler, BSN, SRNA
• Jacob Peot, D.C.

• Professional Counselor in Onalaska, WI
• Providers in Onalaska, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.