KYLE J PROROK LPC
NPI 1376976738
Counselor - Professional in Viroqua, WI
Active since August 20, 2013
About Kyle J Prorok Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE J PROROK LPC (NPI 1376976738) is an individual professional provider in Viroqua, Wisconsin, licensed in Wisconsin (5504-125) and active in the NPI registry since August 2013.
NPPES Registry Identity
NPI1376976738
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKYLE J PROROKCredential: LPC
Location Address400 CONGRESS AVEViroqua, WI 54665-1309
Mailing AddressE10671 Gore Hollow RdViola, WI 54664-8054 · (608) 632-9176
Phone(608) 632-9176
Fax(608) 637-8000
Sole ProprietorYes
Enumeration DateAugust 20, 2013
Last NPPES UpdateAugust 25, 20212 updates tracked since enumeration
NPPES CertifiedAugust 25, 2021
✔ NPI 1376976738 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 · 5504-125
Also ListedCounselorTaxonomy 101Y00000X · License 1607-226 (WI)
400 CONGRESS AVE, Viroqua, WI 54665
Other Identifiers 1
Medicaid1376976738WI
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Quartz and more.Insurance ›
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376976738, enumerated as an "individual" on August 20, 2013.
The provider is located at 400 CONGRESS AVE VIROQUA, WI 54665 and the phone number is (608) 632-9176.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medica, Quartz,. Please consult your insurance carrier or call the provider to verify.
