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NPI Code Detail

MEDICARE: MS. SUSAN M KALENSKY LPC

MEDICARE: MS. SUSAN M KALENSKY LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor3737-125WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710908405
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUSAN M KALENSKY LPC
Provider Business Mailing Address
First Line : 18000 W SARAH LN STE 210
Second Line :
City : BROOKFIELD
State : WI
Zip : 53045-5840
Country : US
Telephone Number : 262-267-8551
Fax Number : 262-395-4047
Provider Business Practice Location Address
First Line : 18000 W SARAH LN STE 210
Second Line :
City : BROOKFIELD
State : WI
Zip : 53045-5840
Country : US
Telephone Number : 262-267-8551
Fax Number : 262-395-4047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 07/21/2025

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