Healthcare Provider Details

I. General information

NPI: 1093334005
Provider Name (Legal Business Name): KAYLA MAE PEPLINSKI MS, RD, LPC-IT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2020
Last Update Date: 11/15/2025
Certification Date: 11/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 N GRANDVIEW BLVD STE 203
WAUKESHA WI
53188-1671
US

IV. Provider business mailing address

W288N2190 OAKTON MANOR DR APT 5
PEWAUKEE WI
53072-5069
US

V. Phone/Fax

Practice location:
  • Phone: 262-547-5567
  • Fax:
Mailing address:
  • Phone: 262-224-9531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8482-226
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number3468-29
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number164011241
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: