Healthcare Provider Details

I. General information

NPI: 1821494923
Provider Name (Legal Business Name): KATIE J FOSTER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATIE J HILBELINK

II. Dates (important events)

Enumeration Date: 11/17/2014
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16535 W BLUEMOUND RD STE 200
BROOKFIELD WI
53005-5906
US

IV. Provider business mailing address

W175N11120 STONEWOOD DR
GERMANTOWN WI
53022-6511
US

V. Phone/Fax

Practice location:
  • Phone: 262-999-3495
  • Fax:
Mailing address:
  • Phone: 262-345-5560
  • Fax: 262-293-9737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2449-226
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number17655-130
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6445-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: