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THERESA J KRAMER LPC
NPI 1710796156
Counselor - Professional in Appleton, WI

Active since December 31, 2024PECOS Enrolled
4351 W COLLEGE AVE, APPLETON, WI 54914(800) 438-1772 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Theresa J Kramer Lpc NPPES

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

THERESA J KRAMER LPC (NPI 1710796156) is an individual professional provider in Appleton, Wisconsin, licensed in Wisconsin (11449) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710796156
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTHERESA J KRAMERCredential: LPC
Location Address4351 W COLLEGE AVEAppleton, WI 54914-3928
Mailing AddressW175n11120 Stonewood DrGermantown, WI 53022-4799 · (800) 438-1772
Phone(800) 438-1772
Sole ProprietorNo
Enumeration DateDecember 31, 2024
NPPES CertifiedDecember 31, 2024
✔ NPI 1710796156 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 · 11449
4351 W COLLEGE AVE, Appleton, WI 54914
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa J Kramer 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.

Medicare Billing Reassignment

Medicare enrollment records show Theresa Kramer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wisconsin Lutheran Child & Family Service, Inc
Same address
Mental Health (Including Community Mental Health Center)
4351 W COLLEGE AVE, SUITE 410
Appleton, WI 54914
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Wisconsin Lutheran Child And Family Service Inc
  • 64 clinicians in this Medicare group
NPI 1750475513 (262) 345-5599

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.

WISCONSIN LUTHERAN CHILD & FAMILY SERVICE, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4351 W COLLEGE AVE, SUITE 410
APPLETON, WI 54914
Outagamie County (262) 345-5599

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 Theresa Kramer's NPI number?

The NPI number for Theresa Kramer is 1710796156. It was assigned to this individual provider in the NPPES registry on December 31, 2024.

Where is Theresa Kramer located?

Theresa Kramer practices at 4351 W College Ave, Appleton, WI 54914. The listed phone number is (800) 438-1772.

What is Theresa Kramer's specialty?

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

Is Theresa Kramer enrolled in Medicare?

Yes. Theresa Kramer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theresa Kramer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Kramer reassigns Medicare benefits to Wisconsin Lutheran Child & Family Service, Inc (Appleton, 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 Theresa Kramer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresa Kramer accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Network Health, Security Health Plan and UnitedHealthcare list Theresa Kramer 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 Theresa Kramer was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.