Healthcare Provider Details

I. General information

NPI: 1457671638
Provider Name (Legal Business Name): MEGAN A KAYE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN A PAGEL LPC

II. Dates (important events)

Enumeration Date: 06/10/2010
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 N BROADWAY STE 110
DE PERE WI
54115-2557
US

IV. Provider business mailing address

301 N BROADWAY STE 110
DE PERE WI
54115-2557
US

V. Phone/Fax

Practice location:
  • Phone: 920-425-4900
  • Fax: 920-425-4200
Mailing address:
  • Phone: 920-425-4900
  • Fax: 920-425-4200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: