THERESA KETCHUM-FISH
NPI 1194126433
Counselor - Professional in Ashland, WI

Active since September 05, 2014PECOS EnrolledAccepts Medicare Assignment
300 MAIN ST W, ASHLAND, WI 54806(715) 685-2200 Get Directions Write a Review

NPPES record last updated: March 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theresa Ketchum-fish NPPES

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

THERESA KETCHUM-FISH (NPI 1194126433) is an individual professional provider in Ashland, Wisconsin, licensed in Wisconsin (6395-125) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1194126433
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTHERESA KETCHUM-FISH
Location Address300 MAIN ST WAshland, WI 54806-1639
Mailing Address7665 Us Highway 2Iron River, WI 54847-4690 · (715) 685-2200
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 5, 2014
Last NPPES UpdateMarch 1, 2017
NPI 1194126433 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 · 6395-125
300 MAIN ST W, Ashland, WI 54806

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

Theresa Ketchum-fish 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 ID9032558218
PECOS Enrollment IDI20240420000168
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.

Dentist (General Practice)
300 MAIN ST W
ASHLAND, WI 54806
Occupational Therapist
300 MAIN ST W
ASHLAND, WI 54806
Social Worker (Clinical)
300 MAIN ST W
ASHLAND, WI 54806
Speech-Language Pathologist
300 MAIN ST W
ASHLAND, WI 54806
Nurse Practitioner (Family)
300 MAIN ST W
ASHLAND, WI 54806
Dental Hygienist
300 MAIN ST W
ASHLAND, WI 54806
Social Worker (Clinical)
300 MAIN ST W
ASHLAND, WI 54806
Counselor (Addiction (Substance Use Disorder))
300 MAIN ST W
ASHLAND, WI 54806

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 Theresa Ketchum-fish's NPI number?

The NPI number for Theresa Ketchum-fish is 1194126433. It was assigned to this individual provider in the NPPES registry on September 5, 2014.

Where is Theresa Ketchum-fish located?

Theresa Ketchum-fish practices at 300 Main St W, Ashland, WI 54806. The listed phone number is (715) 685-2200.

What is Theresa Ketchum-fish's specialty?

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

Is Theresa Ketchum-fish enrolled in Medicare?

Yes. Theresa Ketchum-fish 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 Theresa Ketchum-fish accept?

Health plans from HealthPartners, Medica and Security Health Plan list Theresa Ketchum-fish 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 Theresa Ketchum-fish was last updated on March 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.