LUMOS NPI 1376301382

NPI Information

  • NPI: 1376301382
  • Provider Name: LUMOS
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 131 S MAIN ST STE M05
    FOND DU LAC, WI
    ZIP 54935
  • Phone: (920) 659-5414

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NPI Details

LUMOS is a mental health counselor in Fond Du Lac, WI. LUMOS NPI is 1376301382. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

131 S MAIN ST STE M05
FOND DU LAC, WI
ZIP 54935-386
Phone: (920) 659-5414

The provider's authorized official is Kaitlyn Kenealy .
The authorized official title is Owner and has the following contact phone number (612) 790-6230.

The enumeration date for this NPI number is 3/13/2024 and was last updated on 3/13/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

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: 3/30/2025

NPI Synchronization or Removal

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