DANIEL KITZHABER – Professional Counselor, NPI 1467214627

DANIEL KITZHABER is a healthcare provider. based in Marshfield, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 7773-226 (WI). The NPI Number for DANIEL KITZHABER is 1467214627

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL KITZHABER
NPI
1467214627
Phone
(715) 600-0521
Address
9337 HALF MILE DR
Enumeration Date
24 January 2024
Last Update Date
24 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7158420944
Graduation Year
2023 (3 years ago)
PAC ID
9638667579
Group Practice PAC ID
0345394037
Professional Enrollment ID
I20251022002674
Address ID
WI544035524WA631XXSTXX300
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

1,777 MENTAL HEALTH COUNSELOR in WI

Provider Addresses for DANIEL KITZHABER

  • 9337 HALF MILE DR

    MARSHFIELD, WI 544499680

    Phone: (715) 600-0521

    Type: Mailing

  • 631 FOREST ST

    WAUSAU, WI 544035524

    Phone: (715) 842-0944

    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: 2025-10-22

PECOS data refreshed: 2026-06-15

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
I20251022002674IMental 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 54449)

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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: 0345394037View full group profile
NameSpecialtyState
Clinical Social WorkerWI
Mental Health CounselorWI
Clinical Social WorkerWI
Clinical Social WorkerWI
Mental Health CounselorWI
Mental Health CounselorWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

What is the standard ID for DANIEL KITZHABER in the U.S.?
In the U.S., DANIEL KITZHABER is identified by NPI 1467214627.
Should I treat DANIEL KITZHABER as an active provider?
Patients and plans typically see DANIEL KITZHABER as active in the national extract.
How should patients interpret DANIEL KITZHABER's specialty?
The extract shows Professional Counselor for DANIEL KITZHABER. Clinical services aligned with this taxonomy classification.
Can patients visit DANIEL KITZHABER in Marshfield, Wisconsin?
For routing, start with Marshfield, Wisconsin for DANIEL KITZHABER, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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