LUMOS
NPI 1376301382
Counselor - Mental Health in Fond Du Lac, WI

Active since March 13, 2024
131 S MAIN ST STE M05, FOND DU LAC, WI 54935(920) 659-5414 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lumos NPPES

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

LUMOS (NPI 1376301382) is a healthcare organization registered as a mental health in Fond Du Lac, Wisconsin and active in the NPI registry since March 2024. The organization lists Kaitlyn Kenealy, Owner, as its authorized official.

NPPES Registry Identity

NPI1376301382
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameLUMOS
Location Address131 S MAIN ST STE M05Fond Du Lac, WI 54935-4386
Mailing Address131 S Main St Ste M05Fond Du Lac, WI 54935-4386
Organization SubpartNo
Authorized OfficialKaitlyn KenealyOwner · (612) 790-6230
Enumeration DateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
NPI 1376301382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
131 S MAIN ST STE M05, Fond Du Lac, WI 54935

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 (Professional)
131 S MAIN ST STE M05
FOND DU LAC, WI 54935
Counselor (Mental Health)
131 S MAIN ST STE M05
FOND DU LAC, WI 54935

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 Lumos's NPI number?

The NPI number for Lumos is 1376301382. It was assigned to this organization in the NPPES registry on March 13, 2024.

Where is Lumos located?

Lumos is located at 131 S Main St Ste M05, Fond Du Lac, WI 54935. The listed phone number is (920) 659-5414.

What is Lumos'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 Lumos was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.