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Kyra Egan

Counselor - Professional β€’ Appleton, WI

Active NPI 1447855168 Individual Practitioner Female Practitioner
Practice location in NPPES

4635 W College Ave
Appleton, WI 549148507

Call 9207507000 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

4635 W College Ave

Appleton, WI 549148507

Telephone 9207507000
Organization at the Same NPPES Address or Phone
Catalpa Health Facility NPI 1386992451

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

NPI first issued

2020

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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Addresses are self-reported to NPPES and may be out of date.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: 2024-10-28
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES WI 4985-226
Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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.

3 listed
NPI 1417941071

Doctor of Philosophy (Ph.D.)

Dr. Mark Rovick , DO

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1003866864

Doctor of Osteopathic Medicine (D.O.)

NPI 1720155328

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

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

11 Historical Events
πŸ“
Updated Practice Location October 28, 2024

Registered at 4635 W COLLEGE AVE, APPLETON, WI 549148507 (Tel: 9207507000)

πŸ“
Updated Business Mailing Address October 28, 2024

Registered at 4635 W COLLEGE AVE, APPLETON, WI 549148507

πŸ‘€
Provider Name / Credentials Updated October 28, 2024

Recorded as KYRA EGAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2024

Counselor

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2021

Counselor (license number reported to NPPES: WI 4985-226)

βœ…
NPI Profile Active December 01, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 01, 2020

Registered at 8901 W CAPITOL DR, MILWAUKEE, WI 532221706 (Tel: 4144631880)

πŸ“
Business Mailing Address (Initial Record) December 01, 2020

Registered at N72W12801 GOOD HOPE RD UNIT 105, MENOMONEE FALLS, WI 530514430 (Tel: 9205702166)

πŸ‘€
Provider Name / Credentials (Initial Record) December 01, 2020

Recorded as KYRA PIETTE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2020

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration December 01, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1447855168
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2020
Last Update: October 28, 2024
Sole Proprietor: No

Mailing Address

4635 W College Ave

Appleton, WI 549148507

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.