Provider Type Icon

KIMBERLEY WELK AND ASSOCIATES LLC NPI 1487075214


NPI Information

NPI: 1487075214
Provider Name: KIMBERLEY WELK AND ASSOCIATES, LLC
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
926 WILLARD DR STE 136
GREEN BAY, WI
ZIP 54304
Phone: (920) 461-5820
Get Directions

KIMBERLEY WELK AND ASSOCIATES, LLC is a marriage family therapist in Green Bay, WI. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. KIMBERLEY WELK AND ASSOCIATES, LLC NPI is 1487075214. The provider is registered as an organization entity type.

The provider's business location address is:

926 WILLARD DR STE 136
GREEN BAY, WI
ZIP 54304-296
Phone: (920) 461-5820
Fax: (888) 449-6342

The provider's authorized official is Kimberley M Welk .
The authorized official title is Owner and has the following contact phone number (920) 461-5820.

The enumeration date for this NPI number is 12/20/2013 and was last updated on 10/28/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2106H00000XMarriage & Family TherapistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
143732400MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.