Katherine Balthazor, MS, LPC, CRC
NPI 1649167594ActiveIndividual· Counselor, Professional· Monona, WI
Counselor, Professional (MS, LPC, CRC) in Monona, Wisconsin, licensed in WI, with an NPI issued in June 2025. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1649167594 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, LPC, CRC |
| Sole proprietor | No |
| NPI issued | Jun 23, 2025 |
| Last updated in NPPES | Jun 28, 2025 |
| Certified by provider | Jun 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 5613-125 | 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 - Mental Health Counselor (WI) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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All 27 professional counselors in Monona · All professional counselors in Wisconsin