Koren Mickelson
NPI 1629830880 · Marriage & Family Therapist · Eau Claire, WI
Enrolled with Medicare as Practitioner - Marriage and Family Therapist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Koren Mickelson is a Marriage & Family Therapist provider in Eau Claire, WI (NPI 1629830880).
Provider details
- NPI number
- 1629830880
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% 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
Registry dates
- Enumerated
- 2024-01-24
- Last updated
- 2025-12-08
- Certified
- 2025-12-08
Frequently asked questions
- What is Koren Mickelson's NPI number?
- Koren Mickelson's National Provider Identifier (NPI) is 1629830880, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Koren Mickelson's specialty?
- Koren Mickelson is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Koren Mickelson located?
- Koren Mickelson's practice location on file with NPPES is 3703 Oakwood Hills Pkwy, Eau Claire, WI 54701-4458.
- What is Koren Mickelson's phone number?
- The practice phone number listed in the NPPES registry for Koren Mickelson is (534) 444-4562.
- Does Koren Mickelson accept Medicare?
- Koren Mickelson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Koren Mickelson's NPI active?
- Yes — Koren Mickelson's NPI (1629830880) is active in the NPPES registry as of the last update on 2025-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.