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KOREN MICKELSON
NPI 1629830880
Marriage & Family Therapist in Eau Claire, WI

Active since January 24, 2024PECOS EnrolledAccepts Medicare Assignment
3703 OAKWOOD HILLS PKWY, EAU CLAIRE, WI 54701(534) 444-4562 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Koren Mickelson NPPES

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

KOREN MICKELSON (NPI 1629830880) is an individual marriage & family therapist in Eau Claire, Wisconsin and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1629830880
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKOREN MICKELSON
Location Address3703 OAKWOOD HILLS PKWYEau Claire, WI 54701-4458
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789
Phone(534) 444-4562
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 24, 2024
Last NPPES UpdateDecember 8, 2025
NPPES CertifiedDecember 8, 2025
✔ NPI 1629830880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
3703 OAKWOOD HILLS PKWY, Eau Claire, WI 54701
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Koren Mickelson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305331216
PECOS Enrollment IDI20251218001582
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 Koren Mickelson's NPI number?

The NPI number for Koren Mickelson is 1629830880. It was assigned to this individual provider in the NPPES registry on January 24, 2024.

Where is Koren Mickelson located?

Koren Mickelson practices at 3703 Oakwood Hills Pkwy, Eau Claire, WI 54701. The listed phone number is (534) 444-4562.

What is Koren Mickelson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Koren Mickelson enrolled in Medicare?

Yes. Koren Mickelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Koren Mickelson was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.