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1548942287 NPI number — KRISTINA ANNE FOWLER LPC

NPI Number: 1548942287
Health Care Provider/Practitioner: KRISTINA ANNE FOWLER LPC

Information about “1548942287” NPI (KRISTINA ANNE FOWLER LPC) exists in 1548942287 in HTML format HTML  |  1548942287 in plain Text format TXT  |  1548942287 in PDF (Portable Document Format) PDF  |  1548942287 in an XML format XML  formats.

NPI Number : 1548942287 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548942287",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FOWLER",
    "FirstName": "KRISTINA",
    "MiddleName": "ANNE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FOWLER",
    "OtherFirstName": "KAIA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LPC",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "N10863 COUNTY ROAD G",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NECEDAH",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "54646-7959",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "920-728-3004",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2115 E CLAIREMONT AVE STE 2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EAU CLAIRE",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "54701-4761",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "763-210-9966",
    "PracticeLocationAddressFaxNumber": "763-210-6886",
    "EnumerationDate": "08/02/2023",
    "LastUpdateDate": "06/04/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": "7353-226",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "11431-125",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "11431-125",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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