KATHERINE BALTHAZOR MS, LPC, CRC
NPI 1649167594
Counselor - Professional in Monona, WI

Active since June 23, 2025PECOS EnrolledAccepts Medicare Assignment
6580 MONONA DR # 1078, MONONA, WI 53716(608) 616-0271 Get Directions Write a Review

NPPES record last updated: June 28, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Katherine Balthazor Ms, Lpc, Crc NPPES

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

KATHERINE BALTHAZOR MS, LPC, CRC (NPI 1649167594) is an individual professional provider in Monona, Wisconsin, licensed in Wisconsin (5613-125) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1649167594
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHERINE BALTHAZORCredential: MS, LPC, CRC
Location Address6580 MONONA DR # 1078Monona, WI 53716-4032
Mailing Address6580 Monona Dr # 1078Monona, WI 53716-4032
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 23, 2025
Last NPPES UpdateJune 28, 2025
NPPES CertifiedJune 28, 2025
NPI 1649167594 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 · 5613-125
6580 MONONA DR # 1078, Monona, WI 53716

Other Names 1

Former Name (1)Katherine Thornton Ms, Lpc, Crc

Accepted Insurance

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

Katherine Balthazor Ms, Lpc, Crc 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 ID6507365152
PECOS Enrollment IDI20250819005058
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.

Other Providers at the Same Location NPPES

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

Social Worker
6580 MONONA DR # 1078
MONONA, WI 53716

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 Katherine Balthazor's NPI number?

The NPI number for Katherine Balthazor is 1649167594. It was assigned to this individual provider in the NPPES registry on June 23, 2025. The provider is also known as Katherine Thornton Ms, Lpc, Crc.

Where is Katherine Balthazor located?

Katherine Balthazor practices at 6580 Monona Dr # 1078, Monona, WI 53716. The listed phone number is (608) 616-0271.

What is Katherine Balthazor's specialty?

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

Is Katherine Balthazor enrolled in Medicare?

Yes. Katherine Balthazor 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.

What insurance does Katherine Balthazor accept?

Health plans from Medica and UnitedHealthcare list Katherine Balthazor 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 Katherine Balthazor was last updated on June 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.