KRISTA L DOERR LPC
NPI 1669602413
Counselor - Professional in Jefferson, WI

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since July 14, 2009PECOS Enrolled

1541 ANNEX RD, JEFFERSON, WI 53549(920) 674-8190(920) 674-6113 Get Directions Write a Review

NPPES record last updated: November 1, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Krista L Doerr Lpc NPPES

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

KRISTA L DOERR LPC (NPI 1669602413) is an individual professional provider in Jefferson, Wisconsin, licensed in Wisconsin (3826-125) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669602413

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKRISTA L DOERRCredential: LPC

Location Address1541 ANNEX RDJefferson, WI 53549-9803

Mailing Address1541 Annex RdJefferson, WI 53549-9803 · (920) 674-8190 · Fax (920) 674-6113

Phone(920) 674-8190

Fax(920) 674-6113

Sole ProprietorNo

Enumeration DateJuly 14, 2009

Last NPPES UpdateNovember 1, 2010

✔ NPI 1669602413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in WI · 3826-125

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 3826-125 (WI)

1541 ANNEX RD, Jefferson, WI 53549

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Other Identifiers 1

Medicaid1669602413WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW, Medica, MercyCare Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krista L Doerr Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

JEFFERSON COUNTY

Clinic/Center (Mental Health (Including Community Mental Health Center))