CHARLES KALTENBERG
NPI 1205352606
Counselor - Mental Health in Prescott, WI

Active since August 17, 2017Opted out of Medicare · through Jan 1, 2028
N5531 1245TH ST, PRESCOTT, WI 54021(612) 584-9071 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2023, Oct 2, 2020, Sep 16, 2020 and 1 more (4 updates tracked since 2017).

About Charles Kaltenberg NPPES

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

CHARLES KALTENBERG (NPI 1205352606) is an individual mental health provider in Prescott, Wisconsin and active in the NPI registry since August 2017. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1205352606
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCHARLES KALTENBERG
Location AddressN5531 1245TH STPrescott, WI 54021-7432
Mailing AddressN5531 1245th StPrescott, WI 54021-7432
Sole ProprietorYes
Enumeration DateAugust 17, 2017
Last NPPES UpdateMay 23, 20234 updates tracked since enumeration
NPPES CertifiedMay 23, 2023
NPI 1205352606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
N5531 1245TH ST, Prescott, WI 54021

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Charles Kaltenberg 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Charles Kaltenberg's NPI number?

The NPI number for Charles Kaltenberg is 1205352606. It was assigned to this individual provider in the NPPES registry on August 17, 2017.

Where is Charles Kaltenberg located?

Charles Kaltenberg practices at N5531 1245th St, Prescott, WI 54021. The listed phone number is (612) 584-9071.

What is Charles Kaltenberg's specialty?

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

Is Charles Kaltenberg enrolled in Medicare?

No. Charles Kaltenberg has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Charles Kaltenberg was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.