1568785558 NPI number — MS. KELLY T ENGER MS, LPC, NCC

Table of content: MS. KELLY T ENGER MS, LPC, NCC (NPI 1568785558)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568785558 NPI number — MS. KELLY T ENGER MS, LPC, NCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ENGER
Provider First Name:
KELLY
Provider Middle Name:
T
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MS, LPC, NCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568785558
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/16/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9000 W. WISCONSIN AVENUE
Provider Second Line Business Mailing Address:
MS 958
Provider Business Mailing Address City Name:
MILWAUKEE
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53226
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
414-266-7615
Provider Business Mailing Address Fax Number:
414-266-6238

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
W4063 HWY NN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELKHORN
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53121-4338
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
262-741-1440
Provider Business Practice Location Address Fax Number:
262-743-2221
Provider Enumeration Date:
03/05/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  4811-125 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1568785558 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".




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