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KIM MAROHL MA, LPC
NPI 1760629026
Counselor - Professional in Green Bay, WI

Active since January 08, 2009Opted out of Medicare · through Jan 1, 2028
321 SAINT GEORGE ST, GREEN BAY, WI 54302(920) 278-2620(920) 278-7886 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2023, May 11, 2022 (2 updates tracked since 2022).

About Kim Marohl Ma, Lpc NPPES

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

KIM MAROHL MA, LPC (NPI 1760629026) is an individual professional provider in Green Bay, Wisconsin, licensed in Wisconsin (4239-125) and active in the NPI registry since January 2009. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1760629026
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIM MAROHLCredential: MA, LPC
Location Address321 SAINT GEORGE STGreen Bay, WI 54302-1310
Mailing Address321 Saint George StGreen Bay, WI 54302-1310 · (920) 278-2620 · Fax (920) 278-7886
Phone(920) 278-2620
Fax(920) 278-7886
Sole ProprietorNo
Enumeration DateJanuary 8, 2009
Last NPPES UpdateAugust 8, 20232 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
✔ NPI 1760629026 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 · 4239-125
321 SAINT GEORGE ST, Green Bay, WI 54302
Open in Google Maps ↗

Other Identifiers 1

Medicaid1760629026WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kim Marohl Ma, Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

SONIA MENNING LMT
Massage Therapist
321 SAINT GEORGE ST
GREEN BAY, WI 54302
Brown County (920) 265-6144

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 Kim Marohl's NPI number?

The NPI number for Kim Marohl is 1760629026. It was assigned to this individual provider in the NPPES registry on January 8, 2009.

Where is Kim Marohl located?

Kim Marohl practices at 321 Saint George St, Green Bay, WI 54302. The listed phone number is (920) 278-2620.

What is Kim Marohl's specialty?

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

Is Kim Marohl enrolled in Medicare?

No. Kim Marohl has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kim Marohl was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.