KATHERINE BALTHAZOR MS, LPC, CRC
NPI 1649167594
Counselor - Professional in Monona, WI
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
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Katherine Balthazor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Madison, WI 53715
- Reassigned Medicare billing, Wisconsin enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Katherine Balthazor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Balthazor reassigns Medicare benefits to Neurodiversity & Disability Affirming Therapy Ltd. (Madison, WI). The 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 Katherine Balthazor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katherine Balthazor accept?
Health plans from Dean Health Plan, Medica, Quartz 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 16 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.
# Katherine Balthazor, MS, LPC, CRC · NPI 1649167594
Professional provider in Monona, Wisconsin. Individual provider, active in the CMS NPPES registry since June 23, 2025.
## Identity
- **NPI:** 1649167594 (Entity type: Individual)
- **Enumerated:** June 23, 2025
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 5613-125 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 6580 MONONA DR # 1078, Monona, WI 53716-4032
- **Phone:** (608) 616-0271
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Neurodiversity & Disability Affirming Therapy Ltd. (NPI 1194587923, Madison, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** June 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649167594) · Data from the CMS NPPES public registry.