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KYLE KERSHEK LPC
NPI 1396500724
Counselor - Professional in Green Bay, WI

Active since February 15, 2024PECOS Enrolled
3150 GERSHWIN DR, GREEN BAY, WI 54311(920) 391-4700(920) 391-4731 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kyle Kershek Lpc NPPES

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

KYLE KERSHEK LPC (NPI 1396500724) is an individual professional provider in Green Bay, Wisconsin, licensed in Wisconsin (8462) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1396500724
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKYLE KERSHEKCredential: LPC
Location Address3150 GERSHWIN DRGreen Bay, WI 54311-4328
Mailing Address3150 Gershwin DrGreen Bay, WI 54311-4328 · (920) 391-4700 · Fax (920) 391-4731
Phone(920) 391-4700
Fax(920) 391-4731
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 15, 2024
NPPES CertifiedFebruary 15, 2024
✔ NPI 1396500724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 8462
3150 GERSHWIN DR, Green Bay, WI 54311
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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), Network Health 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)

Kyle Kershek Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103263900
PECOS Enrollment IDI20240327003975
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.

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.

JADE COUNTY COMMUNITY TRE PIRLOTT LPC
Counselor (Professional)
3150 GERSHWIN DR
GREEN BAY, WI 54311
Brown County (920) 391-4700
ASHLEY N ZELLNER
Counselor (Addiction (Substance Use Disorder))
3150 GERSHWIN DR
GREEN BAY, WI 54311
Brown County (920) 391-4751
YOGESH C PAREEK M.D.
Psychiatry & Neurology (Psychiatry)
3150 GERSHWIN DR
GREEN BAY, WI 54311
Brown County (920) 391-4700
HELGA AQUINO MEYER LCSW
Social Worker (Clinical)
3150 GERSHWIN DR
GREEN BAY, WI 54311
Brown County (920) 391-4700
COUNTY OF BROWN
Case Management
3150 GERSHWIN DR
GREEN BAY, WI 54311
Brown County (920) 391-4700
ABIGAIL ANN MILLER SAC
Counselor (Addiction (Substance Use Disorder))
3150 GERSHWIN DR
GREEN BAY, WI 54311
Brown County (920) 391-6943
NICOLE DUFEK LCSW
Social Worker (Clinical)
3150 GERSHWIN DR
GREEN BAY, WI 54311
Brown County (203) 914-7009
MATTHEW MALONEY SAC IT
Counselor (Addiction (Substance Use Disorder))
3150 GERSHWIN DR
GREEN BAY, WI 54311
Brown County (920) 391-4700

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 Kyle Kershek's NPI number?

The NPI number for Kyle Kershek is 1396500724. It was assigned to this individual provider in the NPPES registry on February 15, 2024.

Where is Kyle Kershek located?

Kyle Kershek practices at 3150 Gershwin Dr, Green Bay, WI 54311. The listed phone number is (920) 391-4700.

What is Kyle Kershek's specialty?

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

Is Kyle Kershek enrolled in Medicare?

Yes. Kyle Kershek is registered in the Medicare PECOS enrollment system.

What insurance does Kyle Kershek accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and Quartz list Kyle Kershek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyle Kershek was last updated on February 15, 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.