Lisa O'donnell Kjos, MSE, EDS is a
Counselor - Mental Health based in Dodgeville, Wisconsin. Lisa O'donnell Kjos is licensed to practice in Wisconsin (license number 7103-226) and her current practice location is
101 E Fountain St # 2, Dodgeville, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 835-5050.
NPI number for Lisa O'donnell Kjos is 1598087058 and her current mailing address is 516 Ford Dr Unit B, Barneveld, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598087058.
Healthcare Provider's Profile
Full Name | Lisa O'donnell Kjos |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 101 E Fountain St # 2, Dodgeville, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1598087058
- Provider Enumeration Date: 02/24/2010
- Last Update Date: 09/13/2022
Medical Identifiers
Medical identifiers for Lisa O'donnell Kjos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598087058 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 62616466 (Wisconsin) | Secondary |
101YM0800X | Counselor - Mental Health | 7103-226 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa O'donnell Kjos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa O'donnell Kjos, MSE, EDS 516 Ford Dr Unit B, Barneveld, WI 53507-9435 Ph: (608) 346-5234 | Lisa O'donnell Kjos, MSE, EDS 101 E Fountain St # 2, Dodgeville, WI 53533-1749 Ph: (608) 835-5050 |
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