MS. KENNA RUTH POMEROY CAPSW, CADC-D
NPI 1346469384
Counselor - Addiction (Substance Use Disorder) in Milwaukee, WI

Q: What is Kenna Pomeroy's NPI number?

The NPI number for Kenna Pomeroy is 1346469384. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Q: What is Kenna Pomeroy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Kenna Pomeroy was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 April 25, 2007PECOS Enrolled

210 W CAPITOL DR, MILWAUKEE, WI 53212(414) 727-6320(414) 727-6321 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Kenna Ruth Pomeroy Capsw, Cadc-d NPPES

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

MS. KENNA RUTH POMEROY CAPSW, CADC-D (NPI 1346469384) is an individual addiction (substance use disorder) provider in Milwaukee, Wisconsin, licensed in Wisconsin (14804-13L) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1995).

NPPES Registry Identity

NPI1346469384

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMS. KENNA RUTH POMEROYCredential: CAPSW, CADC-D

Location Address210 W CAPITOL DRMilwaukee, WI 53212-1123

Mailing Address3166a S 16th StMilwaukee, WI 53215-4525 · (414) 727-6320 · Fax (414) 727-6321

Phone(414) 727-6320

Fax(414) 727-6321

Sole ProprietorYes

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1995

Enumeration DateApril 25, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1346469384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WI · 14804-13L

210 W CAPITOL DR, Milwaukee, WI 53212

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Other Identifiers 2

Other14804-13LWI · Cadc-d

Medicaid39176500WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica 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 (PECOS)

Ms. Kenna Ruth Pomeroy Capsw, Cadc-d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860841749

PECOS Enrollment IDI20231218003189

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.

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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.

COURTNEY STACK

Counselor