Kettle Moraine Counseling LLC
NPI 1568790954 · Mental Health Clinic/Center (Including Community Mental Health Center) · West Bend, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kettle Moraine Counseling LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in West Bend, WI (NPI 1568790954).
Provider details
- NPI number
- 1568790954
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Devona Marshall, Owner/Director(262) 334-4340
- License
- 3514-125 (WI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Kettle Moraine Counseling
Registry dates
- Enumerated
- 2009-11-24
- Last updated
- 2020-01-14
- Certified
- 2020-01-14
Frequently asked questions
- What is Kettle Moraine Counseling LLC's NPI number?
- Kettle Moraine Counseling LLC's National Provider Identifier (NPI) is 1568790954, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kettle Moraine Counseling LLC?
- Kettle Moraine Counseling LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Kettle Moraine Counseling LLC located?
- Kettle Moraine Counseling LLC's practice location on file with NPPES is 400 W River Dr, West Bend, WI 53090-1567.
- What is Kettle Moraine Counseling LLC's phone number?
- The practice phone number listed in the NPPES registry for Kettle Moraine Counseling LLC is (262) 334-4340.
- Does Kettle Moraine Counseling LLC accept Medicare?
- Kettle Moraine Counseling LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kettle Moraine Counseling LLC?
- The authorized official listed on Kettle Moraine Counseling LLC's NPPES record is Devona Marshall, Owner/Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kettle Moraine Counseling LLC's NPI active?
- Yes — Kettle Moraine Counseling LLC's NPI (1568790954) is active in the NPPES registry as of the last update on 2020-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.