KOURTNEY KAYE LECHNER ULLRICH MS LPC
NPI 1043719420
Counselor - Mental Health in Waupun, WI

Active since February 12, 2018PECOS Enrolled
620 W BROWN ST, WAUPUN, WI 53963(920) 926-4200 Get Directions Write a Review

NPPES record last updated: July 16, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 16, 2018, Mar 17, 2018, Feb 12, 2018 (3 updates tracked since 2018).

About Kourtney Kaye Lechner Ullrich Ms Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOURTNEY KAYE LECHNER ULLRICH MS LPC (NPI 1043719420) is an individual mental health provider in Waupun, Wisconsin, licensed in Wisconsin (6399-125) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1043719420
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKOURTNEY KAYE LECHNER ULLRICHCredential: MS LPC
Location Address620 W BROWN STWaupun, WI 53963
Mailing Address620 W Brown StWaupun, WI 53963-1702
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 12, 2018
Last NPPES UpdateJuly 16, 20183 updates tracked since enumeration
✔ NPI 1043719420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 6399-125
620 W BROWN ST, Waupun, WI 53963

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kourtney Kaye Lechner Ullrich Ms Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709345341
PECOS Enrollment IDI20260825001990
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kourtney Lechner Ullrich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
145 W WISCONSIN AVE
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
620 W BROWN ST
WAUPUN, WI 53963
Nurse Anesthetist, Certified Registered
620 W BROWN ST
WAUPUN, WI 53963
Physical Therapist
620 W BROWN ST
WAUPUN, WI 53963
Social Worker (Clinical)
620 W BROWN ST
WAUPUN, WI 53963
Physical Therapist
620 W BROWN ST
WAUPUN, WI 53963
Family Medicine
620 W BROWN ST
WAUPUN, WI 53963
Physical Therapist
620 W BROWN ST
WAUPUN, WI 53963
Occupational Therapist
620 W BROWN ST
WAUPUN, WI 53963

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kourtney Lechner Ullrich's NPI number?

The NPI number for Kourtney Lechner Ullrich is 1043719420. It was assigned to this individual provider in the NPPES registry on February 12, 2018.

Where is Kourtney Lechner Ullrich located?

Kourtney Lechner Ullrich practices at 620 W Brown St, Waupun, WI 53963. The listed phone number is (920) 926-4200.

What is Kourtney Lechner Ullrich's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kourtney Lechner Ullrich enrolled in Medicare?

Yes. Kourtney Lechner Ullrich is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kourtney Lechner Ullrich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kourtney Lechner Ullrich reassigns Medicare benefits to Psychological And Behavioral Health Of The Fox Cities (Neenah, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kourtney Lechner Ullrich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kourtney Lechner Ullrich accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz list Kourtney Lechner Ullrich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kourtney Lechner Ullrich was last updated on July 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.