MEDICARE: KRISTIN ANN HOOPER LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	8128	WI
2	101YM0800X	Mental Health Counselor	4310	WI

General Provider Information

NPI Number	:	1598379935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN ANN HOOPER LPC

Provider Business Mailing Address
First Line	:	W6240 COMMUNICATION CT STE 2
Second Line	:
City	:	APPLETON
State	:	WI
Zip	:	54914-8549
Country	:	US
Telephone Number	:	920-540-7383
Fax Number	:

Provider Business Practice Location Address
First Line	:	W6240 COMMUNICATION CT STE 2
Second Line	:
City	:	APPLETON
State	:	WI
Zip	:	54914-8549
Country	:	US
Telephone Number	:	920-540-7383
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2020
Last Update Date	:	02/12/2026

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