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Katelyn Rose Kotkosky , LPC

Counselor - Professional β€’ Appleton, WI

Active NPI 1831693142 Individual Practitioner Female Practitioner
Practice location in NPPES

320 S Walnut St
Appleton, WI 549115918

Call 9208325270 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

320 S Walnut St

Appleton, WI 549115918

Telephone 9208325270
Fax 9208324767
Organization at the Same NPPES Address or Phone
Outagamie County Department Of Health And Human Services Facility NPI 1881919603

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2017

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Appleton and Wisconsin

193 active clinicians are listed under Counselor - Professional with a practice address in Appleton, WI (4,461 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Appleton

4.7% of these 193 clinicians have the CMS telehealth indicator.

18.1% of these 193 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-12-11
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES WI 7661-125
Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES WI 3758-226
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Dr. Indu Dave , MD

Psychiatry & Neurology - Psychiatry

NPI 1396801148

Doctor of Medicine (M.D.)

Dr. Jagdish Dave , MD

Psychiatry & Neurology - Psychiatry

NPI 1932265782

Doctor of Medicine (M.D.)

NPI 1639673940

Doctor of Psychology (Psy.D.)

Amanda Harris , LCSW

Social Worker - Clinical

NPI 1184145161

Licensed Clinical Social Worker

Dr. Randy Readling , MD

Psychiatry & Neurology - Psychiatry

NPI 1952361610

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Business Mailing Address December 11, 2023

Registered at 2424 LAKE COTTAGE CT, MENASHA, WI 549522500 (Tel: 9208325270)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2023

Counselor

πŸ“
Updated Practice Location March 20, 2020

Registered at 320 S WALNUT ST, APPLETON, WI 549115918 (Tel: 9208325270)

πŸ“
Updated Business Mailing Address March 20, 2020

Registered at 320 S WALNUT ST, APPLETON, WI 549115918 (Tel: 9208325270)

πŸ‘€
Provider Name / Credentials Updated March 20, 2020

Recorded as KATELYN KOTKOSKY, LPC

βœ…
NPI Profile Active March 21, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 21, 2018

Registered at 401 S. ELM ST, APPLETON, WI 54911 (Tel: 9208325270)

πŸ“
Business Mailing Address (Initial Record) March 21, 2018

Registered at 410 S. WALNUT STREET, APPLETON, WI 54911 (Tel: 9208325270)

πŸ‘€
Provider Name / Credentials (Initial Record) March 21, 2018

Recorded as KATELYN HERZFELDT, MS, LPC-IT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2018

Counselor (license number reported to NPPES: WI 3758-226)

🟒
Initial NPI Registration & Enumeration March 21, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1831693142
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2018
Last Update: December 11, 2023
Sole Proprietor: No

Mailing Address

2424 Lake Cottage Ct

Menasha, WI 549522500

Phone: 9208325270

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.