Keyara J. Tabbert, LMFT
NPI 1518670041ActiveIndividual· Marriage & Family Therapist· New Lisbon, WI
Marriage & Family Therapist (LMFT) with Gundersen Clinic Ltd, practicing in New Lisbon, Wisconsin. Enrolled in Medicare as practitioner - marriage and family therapist.
Overview
| NPI | 1518670041 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMFT |
| Sole proprietor | Yes |
| NPI issued | Dec 29, 2022 |
| Last updated in NPPES | May 12, 2025 |
| Certified by provider | May 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 2224-124 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Marriage and Family Therapist (WI) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Marriage And Family Therapist |
Medical group
- Gundersen Clinic LtdOnalaska, WI · 418 clinicians
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