| Katherine Balthazor, MS, LPC, CRC | |
|
6580 Monona Dr # 1078, Monona, WI 53716-4032 | |
| (608) 616-0271 | |
| Not Available |
| Full Name | Katherine Balthazor |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 14 Years |
| Location | 6580 Monona Dr # 1078, Monona, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649167594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5613-125 (Wisconsin) | Primary |
| Entity Name | Neurodiversity & Disability Affirming Therapy Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194587923 PECOS PAC ID: 8426581075 Enrollment ID: O20241104003189 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Balthazor, MS, LPC, CRC 6580 Monona Dr # 1078, Monona, WI 53716-4032 Ph: Not Available | Katherine Balthazor, MS, LPC, CRC 6580 Monona Dr # 1078, Monona, WI 53716-4032 Ph: (608) 616-0271 |
Rachelle M. Neckar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5900 Monona Dr Ste 401, Monona, WI 53716 Phone: 608-709-5008 |
Mr. Reid Durtschi, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2829 Royal Ave Ste 200, Monona, WI 53713 Phone: 608-661-2829 Fax: 608-661-0907 |
Ashley Barry, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1955 W Broadway Ste 104, Monona, WI 53713 Phone: 608-405-3002 |
Ruchita Ervin, Counselor Medicare: Accepting Medicare Assignments Practice Location: 1955 W Broadway Ste 104, Monona, WI 53713 Phone: 608-405-3002 |
Danyelle Ronke Okesanjo, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1955 W Broadway, Monona, WI 53713 Phone: 608-285-9101 Fax: 608-467-9635 |
Mr. Gerald Wistein, ICS, CSAC, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Femrite Dr, Monona, WI 53716 Phone: 608-204-8491 |
Valerie Henderson, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 6400 Gisholt Dr, Ste 209, Monona, WI 53713 Phone: 414-202-9146 |