MS. KATHLEEN GUSSLER KOEPKE MSSW, LICSW
NPI 1295834539
Counselor - Mental Health in Wautoma, WI

Active since September 22, 2006
230 W PARK ST, WAUTOMA, WI 54982(920) 787-6550(920) 787-0421 Get Directions Write a Review

NPPES record last updated: July 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kathleen Gussler Koepke Mssw, Licsw NPPES

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

MS. KATHLEEN GUSSLER KOEPKE MSSW, LICSW (NPI 1295834539) is an individual mental health provider in Wautoma, Wisconsin, licensed in Wisconsin (2337) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1295834539
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. KATHLEEN GUSSLER KOEPKECredential: MSSW, LICSW
Location Address230 W PARK STWautoma, WI 54982-9031
Mailing Address230 Park St, Po Box 1230Wautoma, WI 54982-9031 · (920) 787-6550 · Fax (920) 787-0421
Fax(920) 787-0421
Sole ProprietorNo
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJuly 9, 2015
NPI 1295834539 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 · 2337
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 2337-123 (WI)
230 W PARK ST, Wautoma, WI 54982

Other Identifiers 2

Medicaid39654800WI
Other84306005WI · Medicare

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
230 W PARK ST
WAUTOMA, WI 54982
Counselor (Professional)
230 W PARK ST
WAUTOMA, WI 54982

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 Kathleen Koepke's NPI number?

The NPI number for Kathleen Koepke is 1295834539. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Kathleen Koepke located?

Kathleen Koepke practices at 230 W Park St, Wautoma, WI 54982. The listed phone number is (920) 787-6550.

What is Kathleen Koepke's specialty?

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

When was this NPI record last updated?

The NPPES record for Kathleen Koepke was last updated on July 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.