KATIE RALPH LPC
NPI 1730822693
Counselor - Professional in Kenosha, WI

Q: What is Katie Ralph's NPI number?

The NPI number for Katie Ralph is 1730822693. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Q: What is Katie Ralph's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katie Ralph was last updated on October 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 19, 2022PECOS Enrolled

2108 63RD ST, KENOSHA, WI 53143(262) 652-2406 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 14, 2022, Apr 19, 2022 (2 updates tracked since 2022).

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About Katie Ralph Lpc NPPES

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

KATIE RALPH LPC (NPI 1730822693) is an individual professional provider in Kenosha, Wisconsin, licensed in Wisconsin (11365) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730822693

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKATIE RALPHCredential: LPC

Location Address2108 63RD STKenosha, WI 53143-4454

Mailing Address6233 39th AveKenosha, WI 53142-7015 · (262) 654-1004

Phone(262) 652-2406

Sole ProprietorNo

Enumeration DateApril 19, 2022

Last NPPES UpdateOctober 21, 20242 updates tracked since enumeration

NPPES CertifiedOctober 21, 2024

✔ NPI 1730822693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in WI · 11365

Also ListedCounselorTaxonomy 101Y00000X · License 5295 (WI)

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 19804-130 (WI)

2108 63RD ST, Kenosha, WI 53143

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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)

Katie Ralph 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.

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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.

JESSICA MARTZAHL LPC

Counselor (Professional)