KELSEY A KIDDER (NPI# 1013543396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013543396 |
| Entity Type | Individual |
| Full Name | KELSEY A KIDDER |
| Other Name | KELSEY A KAEFER |
| Credential | LPC |
| Practice Address |
300 S 6th St Depere WI 54115-1214 |
| Mailing Address |
Po Box 309 Siren WI 54872-0309 |
| Practice Telephone | 9203368960 |
| Practice Fax Number | 8335815765 |
| Mailing Telephone | 7153497069 |
| Mailing Fax Number | 8886258634 |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
7713-125 | WI | Behavioral Health & Social Service Providers |
| Street Address |
300 S 6TH ST |
| City | DEPERE |
| State | WI |
| Zip Code | 54115-1214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627791 | Tara C Seidel | Counselor | 300 S 6th St, Depere, WI 54115-1214 | 2020-07-28 |
| 1760009823 | Kayla E Anderson | Social Worker | 300 S 6th St, Depere, WI 54115-1214 | 2020-07-06 |
| 1063721017 | Northwest Counseling & Guidance Clinic | Clinic/Center | 300 S 6th St, Depere, WI 54115-1214 | 2010-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871138073 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 723 Main Ave, Depere, WI 54115 | 2019-11-12 |
| 1568928083 | Stephanie J Towle | Speech-Language Pathologist | 200 S. 9th St, De Pere, WI 54115 | 2019-02-20 |
| 1164988499 | Maribel L Zoeller | Physical Therapy Assistant | 200 S. 9th Street, Depere, WI 54115 | 2019-02-12 |
| 1255897641 | Elizabeth Eberius | Acupuncturist | 3311 S. Packerland Drive, Suite A #20, De Pere, WI 54115 | 2019-02-11 |
| 1548750458 | Jordyn E Arndt | Physical Therapist | 1601 Lawrence Dr Ste 100, De Pere, WI 54115 | 2018-05-16 |
| 1588153514 | David Nowakowski | Registered Nurse | 158 Cavil Way, De Pere, WI 54115 | 2018-05-04 |
| 1457858557 | Rennes Assisted Living Corp. | Assisted Living Facility | 1150 Lois Street, Depere, WI 54115 | 2018-04-06 |
| 1518473966 | Kirsten Lynne Masrelian | Behavioral Analyst | 2073 Lawrence Dr, De Pere, WI 54115 | 2017-12-21 |
| 1285146050 | Sydney Marie Schultz | Physical Medicine & Rehabilitation | 200 S. Ninth Street, De Pere, WI 54115 | 2017-11-01 |
| 1134666514 | Nicole L Bickham | Psychologist | 416 George St Ste 108, De Pere, WI 54115 | 2017-01-24 |
| Find all providers in zip 54115 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608132 | Jenna M Belongia | Counselor | 300 S. 6th St, Depere, WI 54115-1214 | 2020-10-27 |
| 1023627791 | Tara C Seidel | Counselor | 300 S 6th St, Depere, WI 54115-1214 | 2020-07-28 |
| 1376180653 | Anne C Wollan | Counselor | 300 S. 6th St, Depere, WI 54115-1214 | 2019-12-05 |
| 1538706833 | Katie A Werren | Counselor | 300 S. 6th St, Depere, WI 54115-1214 | 2019-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446430 | Caley Kiser | Counselor | 1245 Cheyenne Ave Ste 200, Grafton, WI 53024-9323 | 2020-10-28 |
| 1467051706 | Emily Worth | Counselor | 1426 Hiawatha Dr, Beaver Dam, WI 53916-1042 | 2020-10-19 |
| 1740888544 | Rene Beth Domask | Counselor | 760 Quarterdeck Ln # 2102b, Sturgeon Bay, WI 54235-3639 | 2020-10-14 |
| 1073110631 | Be Insightful Counseling LLC | Counselor | 2901 35th St Lowr Suiteb, Kenosha, WI 53140-5117 | 2020-10-07 |
| 1447867759 | Veronica Mary Fox | Counselor | N79w12855 Fond Du Lac Avenue, Menomonee Falls, WI 53051-4409 | 2020-09-30 |
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1265047625 | Jessica Marie Key | Counselor | 5805 W Wells St, Wauwatosa, WI 53213-3239 | 2020-09-12 |
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1477167658 | Aleksandra Miles Steinert | Counselor | 2025 E Greenwich Ave Unit 119, Milwaukee, WI 53211-4428 | 2020-09-03 |
| 1003420597 | Joshua A. Larson | Counselor | 316 N Milwaukee St Ste 325, Milwaukee, WI 53202-5895 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.