Healthcare Provider Details

I. General information

NPI: 1497622112
Provider Name (Legal Business Name): KT COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 05/10/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3120 POST RD STE 1
STEVENS POINT WI
54481-6437
US

IV. Provider business mailing address

3120 POST RD STE 1
STEVENS POINT WI
54481-6437
US

V. Phone/Fax

Practice location:
  • Phone: 715-352-0807
  • Fax:
Mailing address:
  • Phone: 715-352-0807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: KATIE ROSE TRYBA
Title or Position: OWNER
Credential: LPC, MAC
Phone: 920-659-1234