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KYLE BUTLER LPC-IT
NPI 1548965148
Counselor - Professional in Kenosha, WI

Active since April 03, 2023PECOS Enrolled
2108 63RD ST, KENOSHA, WI 53143(262) 652-2406 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 19, 2025, Apr 3, 2023 (2 updates tracked since 2023).

About Kyle Butler Lpc-it NPPES

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

KYLE BUTLER LPC-IT (NPI 1548965148) is an individual professional provider in Kenosha, Wisconsin, licensed in Wisconsin (12194-125) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1548965148
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKYLE BUTLERCredential: LPC-IT
Location Address2108 63RD STKenosha, WI 53143-4454
Mailing Address6233 39th AveKenosha, WI 53142-7015 · (262) 654-1004
Phone(262) 652-2406
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 3, 2023
Last NPPES UpdateNovember 19, 20252 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1548965148 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 · 12194-125
2108 63RD ST, Kenosha, WI 53143
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter 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 Butler Lpc-it is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668965963
PECOS Enrollment IDI20251204003307
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 Butler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional Services Group, Inc.
Same address
Mental Health (Including Community Mental Health Center)
2108 63RD ST
Kenosha, WI 53143
  • Reassigned Medicare billing, Wisconsin enrollment
  • 72 clinicians in this Medicare group
NPI 1619024262 (262) 652-2406

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.

JESSICA MARTZAHL LPC
Counselor (Professional)
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
MACKENZIE DODGE APSW
Social Worker
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
LAUREN WUENSTEL LCSW
Social Worker (Clinical)
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
COURTNEY JEAN NIELSEN APSW
Social Worker
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
CASEY NICOLE GITTENS
Social Worker (Clinical)
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
DAVID HOUGHTON MSW
Social Worker (Clinical)
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
ZACHARY ALAN WEIS MS
Counselor
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
JASON HAJDUK
Counselor
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406

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 Butler's NPI number?

The NPI number for Kyle Butler is 1548965148. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Kyle Butler located?

Kyle Butler practices at 2108 63rd St, Kenosha, WI 53143. The listed phone number is (262) 652-2406.

What is Kyle Butler's specialty?

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

Is Kyle Butler enrolled in Medicare?

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

Which organization bills Medicare for Kyle Butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Butler reassigns Medicare benefits to Professional Services Group, Inc. (Kenosha, 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 Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Butler accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 5 other insurers list Kyle Butler 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 Butler was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.