MS. KATHLEEN MARY KOWALKE (LPC, CTRS) – Professional Counselor, NPI 1093564064

MS. KATHLEEN MARY KOWALKE (LPC, CTRS) is a healthcare provider. based in Marinette, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC, CTRS. They hold a License No. 11075-125 (WI). The NPI Number for MS. KATHLEEN MARY KOWALKE (LPC, CTRS) is 1093564064

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MS. KATHLEEN MARY KOWALKE (LPC, CTRS)
NPI
1093564064
Phone
(920) 272-8234
Address
3900 Hall Ave Ste C
Enumeration Date
14 May 2024
Last Update Date
5 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9202728234
Graduation Year
2021 (5 years ago)
PAC ID
5597208611
Group Practice PAC ID
4486695178
Professional Enrollment ID
I20240618000955
Address ID
WI543012316GR1825XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,748 MENTAL HEALTH COUNSELOR in WI

Provider Addresses for MS. KATHLEEN MARY KOWALKE (LPC, CTRS)

  • 3900 Hall Ave Ste C

    Marinette, WI 541431062

    Phone: (920) 272-8234

    Fax: (651) 323-2648

    Type: Location

  • 425 Main St

    Wrightstown, WI 541801057

    Phone: (920) 272-8234

    Fax: (651) 323-2648

    Type: Location

  • W2035 County Rd S

    Freedom, WI 541307565

    Phone: (920) 272-8234

    Fax: (651) 323-2648

    Type: Location

  • 2800 PARKRIDGE AVE

    MARINETTE, WI 541431529

    Phone: (262) 352-4010

    Type: Mailing

  • 1825 RIVERSIDE DR

    GREEN BAY, WI 543012316

    Phone: (920) 272-8220

    Fax: (651) 323-2648

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240618000955IMental Health CounselorWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54143)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486695178View full group profile
NameSpecialtyState
Mental Health CounselorWI
Mental Health CounselorWI
-WI

Reviews

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Frequently asked questions

What federal number belongs to MS. KATHLEEN MARY KOWALKE (LPC, CTRS)?
The federal identifier for MS. KATHLEEN MARY KOWALKE (LPC, CTRS) is NPI 1093564064.
Is MS. KATHLEEN MARY KOWALKE (LPC, CTRS) active in the national directory?
MS. KATHLEEN MARY KOWALKE (LPC, CTRS)'s public NPI profile is in an active state.
What kind of provider is MS. KATHLEEN MARY KOWALKE (LPC, CTRS)?
The page reflects Professional Counselor for MS. KATHLEEN MARY KOWALKE (LPC, CTRS). Clinical services aligned with this taxonomy classification.
Where does public data place MS. KATHLEEN MARY KOWALKE (LPC, CTRS)?
The snapshot lists Marinette, Wisconsin for MS. KATHLEEN MARY KOWALKE (LPC, CTRS); download NPPES for the complete set.
How can I contact MS. KATHLEEN MARY KOWALKE (LPC, CTRS)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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