KEIKO LEIGH KNOTHE – Mental Health Counselor, NPI 1659880581

KEIKO LEIGH KNOTHE is a healthcare provider. based in La crosse, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for KEIKO LEIGH KNOTHE is 1659880581

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
KEIKO LEIGH KNOTHE
NPI
1659880581
Phone
(651) 398-9599
Address
115 5TH AVE S STE 507
Enumeration Date
22 September 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
5991233918
Group Practice PAC ID
6305190166
Professional Enrollment ID
I20250103002083
Address ID
WI546014018LA115XXSXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:8State licenses:0Digital endpointsOther names

1,748 MENTAL HEALTH COUNSELOR in WI

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Provider Addresses for KEIKO LEIGH KNOTHE

  • 507, 5th Avenue South, Washburn, La Crosse, La Crosse County, Wisconsin, 54601, United States

    LA CROSSE, WI 546014018

    Phone: (651) 398-9599

    Fax: (608) 782-4426

    Type: Location

  • 523, 5th Avenue South, Washburn, La Crosse, La Crosse County, Wisconsin, 54601, United States

    LA CROSSE, WI 546014018

    Phone: (608) 385-7668

    Fax: (608) 782-4426

    Type: Mailing

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: 2025-01-03

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
I20250103002083IMental 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 54601)

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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: 6305190166View full group profile
NameSpecialtyState
Mental Health CounselorWI
Mental Health CounselorWI
Clinical Social WorkerWI
Mental Health CounselorWI
Mental Health CounselorWI
Marriage And Family TherapistWI
Mental Health CounselorWI
Mental Health CounselorWI
Mental Health CounselorWI
Clinical Social WorkerWI

Reviews

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Frequently asked questions

Is there an official ID for KEIKO LEIGH KNOTHE in U.S. healthcare records?
The official identifier for KEIKO LEIGH KNOTHE is NPI 1659880581.
Is KEIKO LEIGH KNOTHE still an active registrant?
KEIKO LEIGH KNOTHE carries an active NPI according to the public dataset.
What clinical focus is listed for KEIKO LEIGH KNOTHE?
At a glance, KEIKO LEIGH KNOTHE is tied to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is KEIKO LEIGH KNOTHE located near La Crosse?
KEIKO LEIGH KNOTHE currently maps to La Crosse, Wisconsin in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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