KEVIN WAHL
NPI 1174994164
Counselor - Professional in Oak Creek, WI

Active since October 15, 2015PECOS EnrolledAccepts Medicare Assignment
1021 E FITZSIMMONS RD, OAK CREEK, WI 53154(414) 975-2843 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Wahl NPPES

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

KEVIN WAHL (NPI 1174994164) is an individual professional provider in Oak Creek, Wisconsin, licensed in Wisconsin (6806-125) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1174994164
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKEVIN WAHL
Location Address1021 E FITZSIMMONS RDOak Creek, WI 53154-5205
Mailing Address1021 E Fitzsimmons RdOak Creek, WI 53154-5205
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 15, 2015
Last NPPES UpdateFebruary 26, 2025
NPPES CertifiedFebruary 26, 2025
NPI 1174994164 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 · 6806-125
1021 E FITZSIMMONS RD, Oak Creek, WI 53154

Accepted 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

Kevin Wahl 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 ID2668884826
PECOS Enrollment IDI20240219002794
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.

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 Kevin Wahl's NPI number?

The NPI number for Kevin Wahl is 1174994164. It was assigned to this individual provider in the NPPES registry on October 15, 2015.

Where is Kevin Wahl located?

Kevin Wahl practices at 1021 E Fitzsimmons Rd, Oak Creek, WI 53154. The listed phone number is (414) 975-2843.

What is Kevin Wahl's specialty?

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

Is Kevin Wahl enrolled in Medicare?

Yes. Kevin Wahl is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kevin Wahl accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Medica and Network Health and 2 other insurers list Kevin Wahl 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 Kevin Wahl was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.