KETTLE MORAINE COUNSELING
NPI 1568790954
Clinic/Center - Mental Health (Including Community Mental Health Center) in West Bend, WI
About Kettle Moraine Counseling NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KETTLE MORAINE COUNSELING (NPI 1568790954) is a healthcare organization registered as a mental health (including community mental health center) in West Bend, Wisconsin and active in the NPI registry since November 2009. The organization lists Devona Lynn Marshall, Owner/director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kettle Moraine Counseling is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
32Medicare enrollment records show 32 clinicians reassign Medicare billing to Kettle Moraine Counseling, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 32Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kettle Moraine Counseling LLC's NPI number?
The NPI number for Kettle Moraine Counseling LLC is 1568790954. It was assigned to this organization in the NPPES registry on November 24, 2009. The provider is doing business as Kettle Moraine Counseling.
Where is Kettle Moraine Counseling LLC located?
Kettle Moraine Counseling LLC is located at 400 W River Dr, West Bend, WI 53090. The listed phone number is (262) 334-4340.
What is Kettle Moraine Counseling LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Kettle Moraine Counseling LLC enrolled in Medicare?
Yes. Kettle Moraine Counseling LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kettle Moraine Counseling LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians in 3 Medicare specialties reassign their Medicare billing to Kettle Moraine Counseling LLC. A 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 the clinician's services. The largest specialties are Mental Health Counselor (26), Clinical Social Worker (4) and Nurse Practitioner (2). Of these, 15 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Kettle Moraine Counseling LLC accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and Quartz and 1 other insurer list Kettle Moraine Counseling LLC 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 Kettle Moraine Counseling LLC was last updated on January 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kettle Moraine Counseling · NPI 1568790954
Mental Health (Including Community Mental Health Center) organization in West Bend, Wisconsin. Organization record, active in the CMS NPPES registry since November 24, 2009.
## Identity
- **NPI:** 1568790954 (Entity type: Organization)
- **Enumerated:** November 24, 2009
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Legal business name:** Kettle Moraine Counseling Llc
- **Organization subpart:** No
- **Authorized official:** Devona Marshall, OWNER/DIRECTOR
## Practice location
- **Address:** 400 W RIVER DR, West Bend, WI 53090-1567
- **Phone:** (262) 334-4340 · **Fax:** (262) 334-4341
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 32 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (26), Clinical Social Worker (4), Nurse Practitioner (2); 15 practice at this address and 18 within 10 miles; [full list](https://npiprofile.com/npi/1568790954/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 14, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1568790954) · Data from the CMS NPPES public registry.