Healthcare Provider Details

I. General information

NPI: 1972429827
Provider Name (Legal Business Name): KATHLEEN SCHLOSSER LPC-IT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 N JACKSON ST
MILWAUKEE WI
53202-2602
US

IV. Provider business mailing address

1300 N JACKSON ST
MILWAUKEE WI
53202-2602
US

V. Phone/Fax

Practice location:
  • Phone: 414-390-5800
  • Fax:
Mailing address:
  • Phone: 414-225-7340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9113-226
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: