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MR. KEVIN A KNUDSON CADCIII
NPI 1578691960
Counselor - Addiction (Substance Use Disorder) in Lac Du Flambeau, WI

Active since February 28, 2007
533 PEACE PIPE ROAD, LAC DU FLAMBEAU, WI 54538(715) 588-1511(715) 588-3903 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mr. Kevin A Knudson Cadciii NPPES

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

MR. KEVIN A KNUDSON CADCIII (NPI 1578691960) is an individual addiction (substance use disorder) provider in Lac Du Flambeau, Wisconsin, licensed in Wisconsin (14432) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1578691960
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. KEVIN A KNUDSONCredential: CADCIII
Location Address533 PEACE PIPE ROADLac Du Flambeau, WI 54538-0189
Mailing Address533 Peace Pipe RoadLac Du Flambeau, WI 54538-0189 · (715) 588-1511 · Fax (715) 588-3903
Phone(715) 588-1511
Fax(715) 588-3903
Sole ProprietorYes
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1578691960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 14432
533 PEACE PIPE ROAD, Lac Du Flambeau, WI 54538
Open in Google Maps ↗

Other Identifiers 1

Medicaid39373600WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, Network Health, Security Health Plan.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. REGINA RAE FOX LPC, CSAC
Counselor (Professional)
533 PEACE PIPE ROAD
LAC DU FLAMBEAU, WI 54538
Vilas County (715) 588-1511
MS. DEBRA L NEDDO CADCIII
Counselor (Addiction (Substance Use Disorder))
533 PEACE PIPE ROAD
LAC DU FLAMBEAU, WI 54538
Vilas County (715) 588-1511
LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
Clinic/Center (Federally Qualified Health Center (FQHC))
533 PEACE PIPE ROAD
LAC DU FLAMBEAU, WI 54538
Vilas County (715) 588-1511
MR. PATRICK DAY RADC1
Counselor (Addiction (Substance Use Disorder))
533 PEACE PIPE ROAD
LAC DU FLAMBEAU, WI 54538
Vilas County (715) 588-1511
MRS. PATRICIA A USTIANOWSKI CADCIII
Counselor (Addiction (Substance Use Disorder))
533 PEACE PIPE ROAD
LAC DU FLAMBEAU, WI 54538
Vilas County (715) 588-1511
SUANNE VANNATTER MHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
533 PEACE PIPE ROAD
LAC DU FLAMBEAU, WI 54538
Vilas County (715) 588-1511
KELLY J BURG LCSW,SAC
Counselor (Mental Health)
533 PEACE PIPE ROAD
LAC DU FLAMBEAU, WI 54538
Vilas County (715) 588-1511
MR. ROBERT R POLFUS MA
Counselor (Mental Health)
533 PEACE PIPE ROAD
LAC DU FLAMBEAU, WI 54538
Vilas County (715) 588-1511

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 Kevin Knudson's NPI number?

The NPI number for Kevin Knudson is 1578691960. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Kevin Knudson located?

Kevin Knudson practices at 533 Peace Pipe Road, Lac Du Flambeau, WI 54538. The listed phone number is (715) 588-1511.

What is Kevin Knudson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Kevin Knudson accept?

Health plans from Aspirus Health Plan, Network Health and Security Health Plan list Kevin Knudson 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 Kevin Knudson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.