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MS. KATHLEEN MARY KOWALKE LPC, CTRS
NPI 1093564064
Counselor - Professional in Green Bay, WI

Active since May 14, 2024Opted out of Medicare · through Apr 21, 2028
1825 RIVERSIDE DR, GREEN BAY, WI 54301(920) 272-8220(651) 323-2648 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2024, May 14, 2024 (2 updates tracked since 2024).

About Ms. Kathleen Mary Kowalke Lpc, Ctrs NPPES

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

MS. KATHLEEN MARY KOWALKE LPC, CTRS (NPI 1093564064) is an individual professional provider in Green Bay, Wisconsin, licensed in Wisconsin (11075-125) and active in the NPI registry since May 2024. She has opted out of Medicare through April 21, 2028, maintains 3 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1093564064
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. KATHLEEN MARY KOWALKECredential: LPC, CTRS
Location Address1825 RIVERSIDE DRGreen Bay, WI 54301-2316
Mailing Address2800 Parkridge AveMarinette, WI 54143-1529 · (262) 352-4010
Phone(920) 272-8220
Fax(651) 323-2648
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 14, 2024
Last NPPES UpdateJune 5, 20242 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1093564064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 11075-125
1825 RIVERSIDE DR, Green Bay, WI 54301
Open in Google Maps ↗

Secondary Practice Locations 3

Location 13900 Hall Ave Ste CMarinette, WI 54143-1062 · Phone (920) 272-8234 · Fax (651) 323-2648
Location 2425 Main StWrightstown, WI 54180-1057 · Phone (920) 272-8234 · Fax (651) 323-2648
Location 3W2035 County Rd SFreedom, WI 54130-7565 · Phone (920) 272-8234 · Fax (651) 323-2648

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Kathleen Mary Kowalke Lpc, Ctrs has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 21, 2026 through April 21, 2028.

Opt-Out Effective DateApril 21, 2026
Opt-Out In Effect ThroughApril 21, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 14

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

MIKAYLA MARIE HIX
Counselor (Mental Health)
1825 RIVERSIDE DR
GREEN BAY, WI 54301
Brown County (920) 272-8234
MARIA JEAN LUNDIN LPC-IT
Counselor (Professional)
1825 RIVERSIDE DR
GREEN BAY, WI 54301
Brown County (920) 272-8234
SUSAN VAN SCHAIK LPC
Counselor (Professional)
1825 RIVERSIDE DR
GREEN BAY, WI 54301
Brown County (920) 272-8231
ERIN NAOMI NELSON
Social Worker (Clinical)
1825 RIVERSIDE DR
GREEN BAY, WI 54301
Brown County (920) 272-8246
CLARE SCHUMAKER
Counselor (Professional)
1825 RIVERSIDE DR
GREEN BAY, WI 54301
Brown County (920) 272-8234
MEGAN A KAYE LPC
Counselor (Professional)
1825 RIVERSIDE DR
GREEN BAY, WI 54301
Brown County (920) 272-8234
NANCY VANDE HEY
Counselor (Professional)
1825 RIVERSIDE DR
GREEN BAY, WI 54301
Brown County (920) 272-8234
MS. NANCY ANN FENNEMA MSSW
Social Worker (Clinical)
1825 RIVERSIDE DR
GREEN BAY, WI 54301
Brown County (920) 272-8234

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 Kathleen Kowalke's NPI number?

The NPI number for Kathleen Kowalke is 1093564064. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Where is Kathleen Kowalke located?

Kathleen Kowalke practices at 1825 Riverside Dr, Green Bay, WI 54301. The listed phone number is (920) 272-8220.

What is Kathleen Kowalke's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kathleen Kowalke enrolled in Medicare?

No. Kathleen Kowalke has opted out of Medicare through April 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kathleen Kowalke accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica and Network Health list Kathleen Kowalke 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 Kathleen Kowalke was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.