KIM D PRUSHA LPC
NPI 1114223542
Counselor - Professional in Menasha, WI

Q: What is Kim Prusha's NPI number?

The NPI number for Kim Prusha is 1114223542. It was assigned to this individual provider in the NPPES registry on February 2, 2011.

Q: What is Kim Prusha's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kim Prusha was last updated on December 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 02, 2011PECOS EnrolledAccepts Medicare Assignment

1095 MIDWAY RD, MENASHA, WI 54952(920) 720-2300(920) 720-3806 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kim D Prusha Lpc NPPES

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

KIM D PRUSHA LPC (NPI 1114223542) is an individual professional provider in Menasha, Wisconsin, licensed in Wisconsin (397) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1114223542

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKIM D PRUSHACredential: LPC

Location Address1095 MIDWAY RDMenasha, WI 54952-1115

Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 720-2300

Phone(920) 720-2300

Fax(920) 720-3806

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateFebruary 2, 2011

Last NPPES UpdateDecember 8, 2023

NPPES CertifiedDecember 8, 2023

✔ NPI 1114223542 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 · 397

1095 MIDWAY RD, Menasha, WI 54952

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kim D Prusha Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739524935

PECOS Enrollment IDI20240227004184

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.

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.

DARLENE LEARY

Counselor (Addiction (Substance Use Disorder))