KATHRYNN M MABALOT MS
NPI 1336546332
Counselor - Professional in Milwaukee, WI

Q: What is Kathrynn Mabalot's NPI number?

The NPI number for Kathrynn Mabalot is 1336546332. It was assigned to this individual provider in the NPPES registry on November 20, 2014.

Q: What is Kathrynn Mabalot's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathrynn Mabalot was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 20, 2014PECOS Enrolled

1020 N 12TH ST, MILWAUKEE, WI 53233(414) 519-5455 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 3, 2022, Mar 17, 2018, Nov 28, 2017 and 1 more (4 updates tracked since 2017).

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About Kathrynn M Mabalot Ms NPPES

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

KATHRYNN M MABALOT MS (NPI 1336546332) is an individual professional provider in Milwaukee, Wisconsin, licensed in Wisconsin (3723-226) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1336546332

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKATHRYNN M MABALOTCredential: MS

Location Address1020 N 12TH STMilwaukee, WI 53233-1308

Mailing Address1020 N 12th StMilwaukee, WI 53233-1308 · (414) 519-5455

Phone(414) 519-5455

Sole ProprietorNo

Enumeration DateNovember 20, 2014

Last NPPES UpdateJanuary 3, 20224 updates tracked since enumeration

✔ NPI 1336546332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in WI · 3723-226

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1020 N 12TH ST, Milwaukee, WI 53233

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Secondary Practice Location 1

Location 15815 3rd StSan Francisco, CA 94124-3101 · Phone (415) 822-7500 · Fax (415) 822-9767

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathrynn M Mabalot Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kathrynn Mabalot reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

1,779 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

SORYAL A SORYAL M.D

Internal Medicine (Geriatric Medicine)

1020 N 12TH ST, 3RD FLOOR
MILWAUKEE, WI 53233

Milwaukee County (414) 219-7300

LAUREL R MAREK APNP

Nurse Practitioner