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MR. KIM N CONRAD CSAC, ICS
NPI 1376711671
Counselor - Addiction (Substance Use Disorder) in Janesville, WI

Active since February 20, 2008
612 N RANDALL AVE STE A, JANESVILLE, WI 53545(608) 752-7660(608) 752-9788 Get Directions Write a Review

NPPES record last updated: February 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Kim N Conrad Csac, Ics NPPES

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

MR. KIM N CONRAD CSAC, ICS (NPI 1376711671) is an individual addiction (substance use disorder) provider in Janesville, Wisconsin, licensed in Wisconsin (11905-134 & 1806-132) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1376711671
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. KIM N CONRADCredential: CSAC, ICS
Location Address612 N RANDALL AVE STE AJanesville, WI 53545-1958
Mailing Address1232 Wilshire PlWaukesha, WI 53188-3311 · (414) 416-4777 · Fax (262) 544-1321
Phone(608) 752-7660
Fax(608) 752-9788
Sole ProprietorNo
Enumeration DateFebruary 20, 2008
✔ NPI 1376711671 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 · 11905-134 & 1806-132
612 N RANDALL AVE STE A, Janesville, WI 53545
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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.

MRS. ALYSSA JOYCE MARIE SENZ LMFT
Counselor (Mental Health)
612 N RANDALL AVE STE A
JANESVILLE, WI 53545
Rock County (608) 752-7660
JEN KLIMALA SAC-IT
Counselor (Addiction (Substance Use Disorder))
612 N RANDALL AVE STE A
JANESVILLE, WI 53545
Rock County (608) 752-7660

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 Kim Conrad's NPI number?

The NPI number for Kim Conrad is 1376711671. It was assigned to this individual provider in the NPPES registry on February 20, 2008.

Where is Kim Conrad located?

Kim Conrad practices at 612 N Randall Ave Ste A, Janesville, WI 53545. The listed phone number is (608) 752-7660.

What is Kim Conrad's specialty?

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

When was this NPI record last updated?

The NPPES record for Kim Conrad was last updated on February 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.