CARMEN REGINA KLENNER
NPI 1609367853
Counselor - Mental Health in Milwaukee, WI

NPI Status: Active since May 23, 2018

Contact Information

11414 W PARK PL STE 202
MILWAUKEE, WI
ZIP 53224
Phone: (262) 355-4456

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Years of Experience 16
Counselor
Mental Health
Accepts Insurance
Accepts Medicare Approved Payment

About CARMEN KLENNER

This page provides the complete NPI Profile along with additional information for Carmen Klenner, a provider established in Milwaukee, Wisconsin with a medical specialization in Counselor, focusing in mental health and more than 16 years of experience. The healthcare provider is registered in the NPI registry with number 1609367853 assigned on May 2018. The practitioner's primary taxonomy code is 101YM0800X with license number 7575-125 (WI). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI: 1609367853
Provider Name: CARMEN REGINA KLENNER
Gender: Female
Entity Type: Individual
Location Address: 11414 W PARK PL STE 202 MILWAUKEE, WI 53224
Location Phone: (262) 355-4456
Mailing Address: 11414 W PARK PL STE 202 MILWAUKEE, WI 53224
Mailing Phone: (262) 355-4456
Medical School Name: OTHER
Graduation Year: 2010
Is Sole Proprietor?: No
Enumeration Date: 05-23-2018
Last Update Date: 01-29-2025
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A mental health counselor like Carmen Klenner provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Counselor Mental Health
Taxonomy Code: 101YM0800X
Type: Behavioral Health & Social Service Providers
License No.: 7575-125
License State: WI

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	101YA0400X	Behavioral Health & Social Service Providers	Counselor Addiction (Substance Use Disorder)	16588-132 (WI)
2	101YS0200X	Behavioral Health & Social Service Providers	Counselor School	(WI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Anthem Blue Cross and Blue Shield

Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO

Chorus Community Health Plans

Chorus Bronze Complete - EPO
Chorus Bronze HDHP - EPO
Chorus Catastrophic - EPO
Chorus Core Bronze - EPO
Chorus Core Gold - EPO
Chorus Core Silver - EPO
Chorus Elite Gold - EPO
Chorus Gold - EPO
Chorus Silver - EPO
Chorus Silver Select - EPO

Common Ground Healthcare Cooperative

CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
CGHC Bronze Standard $7500 - Envision Network - EPO
CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
CGHC Catastrophic $9200 - Envision Network - EPO
CGHC Gold $0 Ded - Envision Network - EPO
CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
CGHC Gold $3000 - Envision Network - EPO

Dean Health Plan

Dean Bronze $0 Copay PCP Visits - HMO
Dean Bronze Share - HMO
Dean Catastrophic - HMO
Dean Expanded Bronze Standard - HMO
Dean Gold HSA - HMO
Dean Gold Share - HMO
Dean Gold Standard - HMO
Dean Silver $0 Copay PCP Visits - HMO
Dean Silver Share - HMO
Dean Silver Standard - HMO

Medica

Engage by Medica Bronze HSA - EPO
Engage by Medica Bronze Share - EPO
Engage by Medica Expanded Bronze Standard - EPO
Engage by Medica Gold $0 Copay PCP Visits - EPO
Engage by Medica Gold Share - EPO
Engage by Medica Gold Standard - EPO
Engage by Medica Silver $0 Copay PCP Visits - EPO
Engage by Medica Silver Share - EPO
Engage by Medica Silver Standard - EPO
Essentia Choice Care with Medica Bronze HSA - EPO

Molina Healthcare

Gold 1 - HMO
Gold 1 with Adult Vision Services - HMO
Gold 8 - HMO
Silver 1 - HMO
Silver 1 with Adult Vision Services - HMO
Silver 12 with First 4 Primary Care Visits Free - HMO
Silver 8 - HMO

Network Health

Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits - HMO
Prestige Bronze Plus - HMO
Prestige Gold - HMO
Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit - HMO
Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits - HMO
Prestige Silver - HMO
Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits - HMO
Signature Prestige Bronze $0 Deductible + Dental + Vision - HMO

UnitedHealthcare

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
UHC Bronze Copay Focus (No Referrals) - HMO
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
UHC Bronze Standard (No Referrals) - HMO
UHC Bronze Value (Rx Copay, No Referrals) - HMO
UHC Bronze Value HSA (No Referrals) - HMO
UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
UHC Gold Advantage (No Referrals) - HMO
UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Carmen Klenner is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

PECOS PAC ID: 8325489446
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20240507003009
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	6	0	9	3	6	7	8	5	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	0	9	6	6	14	8	10
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 6 + 6 + 1 + 4 + 8 + 1 + 0 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 3									3

The NPI number 1609367853 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

ABG COUNSELING SERVICES LLC

Community/Behavioral Health

11414 W PARK PL STE 202
MILWAUKEE, WI
ZIP 53224

About CARMEN KLENNER

Location Map

Specialty - Primary Taxonomy

Counselor Mental Health

Secondary Taxonomies

Counselor Addiction (Substance Use Disorder)

Counselor School

Insurance Plans Accepted

Medicare Participation & PECOS Enrollment Status

PECOS PAC ID: 8325489446

PECOS Enrollment ID: I20240507003009

Accepts Medicare Assignment? Yes

Reviews for CARMEN REGINA KLENNER

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

Counselor
Addiction (Substance Use Disorder)

Counselor
School