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KEITH KNUTSON
NPI 1205377447
Counselor - Mental Health in Wauwatosa, WI

Active since March 20, 2017PECOS EnrolledAccepts Medicare Assignment
1220 DEWEY AVE, WAUWATOSA, WI 53213(414) 773-4312(414) 454-6789 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2025, Mar 17, 2025, Sep 30, 2024 and 2 more (5 updates tracked since 2017).

About Keith Knutson NPPES

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

KEITH KNUTSON (NPI 1205377447) is an individual mental health provider in Wauwatosa, Wisconsin, licensed in Wisconsin (10407) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Milwaukee, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1205377447
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEITH KNUTSON
Location Address1220 DEWEY AVEWauwatosa, WI 53213-2504
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(414) 773-4312
Fax(414) 454-6789
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 20, 2017
Last NPPES UpdateMarch 26, 20255 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1205377447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 10407
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 10407125 (WI)
1220 DEWEY AVE, Wauwatosa, WI 53213
Open in Google Maps ↗

Secondary Practice Location 1

Location 12759 S 57th StMilwaukee, WI 53219-3144 · Phone (262) 441-9913

Other Identifiers 1

Medicaid100096897WI

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

Keith Knutson 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 ID3779012810
PECOS Enrollment IDI20250117003684
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.

AMANDA DRESSER
Pharmacist
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6796
JEAN A MUERHOFF-SCHWEDA PSY.D.
Psychologist
1220 DEWEY AVE, LORTON BLDG, RM 208
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6731
DR. UPTON THOMAS M.D.
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6754
DR. ASHOK R BEDI MD
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6610
DR. ABDUL MATEEN KHAZI MD
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6574
MICHAEL FULLER MCBRIDE MD
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6610
DR. KAROLE MARIE KUSLAK DO
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6600
CHRISTINE S SCHULTZ-RODRIGUEZ
Social Worker (Clinical)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6707

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 Keith Knutson's NPI number?

The NPI number for Keith Knutson is 1205377447. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Keith Knutson located?

Keith Knutson practices at 1220 Dewey Ave, Wauwatosa, WI 53213. The listed phone number is (414) 773-4312.

What is Keith Knutson's specialty?

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

Is Keith Knutson enrolled in Medicare?

Yes. Keith Knutson 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 Keith Knutson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Medica and Quartz and 1 other insurer list Keith Knutson 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 Keith Knutson was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.