Healthcare Provider Details

I. General information

NPI: 1306052295
Provider Name (Legal Business Name): REBECCA ANNA KAISER MS, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA ANNA BARTHEL MS, LMFT

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 E SLIFER STREET PO BOX 445
PORTAGE WI
53901
US

IV. Provider business mailing address

412 E SLIFER STREET PO BOX 445
PORTAGE WI
53901
US

V. Phone/Fax

Practice location:
  • Phone: 608-745-1751
  • Fax: 608-745-1757
Mailing address:
  • Phone: 608-745-1751
  • Fax: 608-745-1757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number837-124
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: