KRISTIN JOY EITLAND
NPI 1417433855
Counselor - Professional in Hudson, WI

Active since July 18, 2018PECOS Enrolled
2201 JACK BREAULT DR, HUDSON, WI 54016(715) 629-8300 Get Directions Write a Review

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristin Joy Eitland NPPES

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

KRISTIN JOY EITLAND (NPI 1417433855) is an individual professional provider in Hudson, Wisconsin, licensed in Wisconsin (3904-226) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417433855
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKRISTIN JOY EITLAND
Location Address2201 JACK BREAULT DRHudson, WI 54016-4547
Mailing Address646 County Road NnWilson, WI 54027-3810 · (817) 504-3812
Sole ProprietorNo
Enumeration DateJuly 18, 2018
NPI 1417433855 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 · 3904-226
2201 JACK BREAULT DR, Hudson, WI 54016

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kristin Joy Eitland 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.

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 Kristin Eitland's NPI number?

The NPI number for Kristin Eitland is 1417433855. It was assigned to this individual provider in the NPPES registry on July 18, 2018.

Where is Kristin Eitland located?

Kristin Eitland practices at 2201 Jack Breault Dr, Hudson, WI 54016. The listed phone number is (715) 629-8300.

What is Kristin Eitland's specialty?

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

Is Kristin Eitland enrolled in Medicare?

Yes. Kristin Eitland is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristin Eitland was last updated on July 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.