1. Home
  2. Directory
  3. Wisconsin
  4. Green Bay
  5. Counselor
  6. NPI Profile

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: October 18, 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.

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
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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Kyle Kershek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Amanda Donath Psychological Services S C
102 mi
Professional
712 SUMMIT AVE
Oconomowoc, WI 53066
  • Reassigned Medicare billing, Wisconsin enrollment
  • 21 clinicians in this Medicare group
NPI 1356961775 (262) 262-2006

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Social Worker (Clinical)
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.

Which organization bills Medicare for Kyle Kershek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Kershek reassigns Medicare benefits to Amanda Donath Psychological Services S C (Oconomowoc, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Kershek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Kershek accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health, Quartz and UnitedHealthcare 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.