Coleen Rae Kittleson, LPC, NCC in Elm Grove, WI

Coleen Rae Kittleson, LPC, NCC is a medicare enrolled "Counselor - Professional" provider in Elm Grove, Wisconsin. Her current practice location is 12970 W Bluemound Rd, 308, Elm Grove, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 780-1020.

Coleen Rae Kittleson is licensed to practice in Wisconsin (license number 1407-125) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073750295.

Contact Information

	Coleen Rae Kittleson, LPC, NCC
	12970 W Bluemound Rd, 308, Elm Grove, WI 53122-2607
	(262) 780-1020
	(262) 780-1022

Map and Direction

Healthcare Provider's Profile

Full Name	Coleen Rae Kittleson
Gender	Female
Speciality	Counselor - Professional
Location	12970 W Bluemound Rd, Elm Grove, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073750295
Provider Enumeration Date: 01/09/2009
Last Update Date: 02/05/2019

Medicare PECOS Information:

PECOS PAC ID: 8628420791
Enrollment ID: I20240115001323

Medical Identifiers

Medical identifiers for Coleen Rae Kittleson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073750295	NPI	-	NPPES
10001649	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	1407-125 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Coleen Rae Kittleson allows following entities to bill medicare on her behalf.

Entity Name	Collaborative Counseling, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598034324 PECOS PAC ID: 3678711900 Enrollment ID: O20160909002528

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. Coleen Rae Kittleson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Coleen Rae Kittleson, LPC, NCC 12970 W Bluemound Rd Ste 200, Elm Grove, WI 53122-2607 Ph: (262) 780-1020	Coleen Rae Kittleson, LPC, NCC 12970 W Bluemound Rd, 308, Elm Grove, WI 53122-2607 Ph: (262) 780-1020

Reviews and Comments

Counselor in Elm Grove, WI

Dr. Ivanna M Richardson, EDD LMFT LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12970 W Bluemound Rd, #105, Elm Grove, WI 53122 Phone: 262-787-2907
Mr. Leslie Harold Prausa, LPC, CADC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 12425 Knoll Rd, Suite 110, Elm Grove, WI 53122 Phone: 262-780-9788 Fax: 262-432-0045
Jessica Sullivan, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 925 Elm Grove Rd Ste 303, Elm Grove, WI 53122 Phone: 414-375-9314
John Michael Duffey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13000 W Bluemound Rd Ste 300, Elm Grove, WI 53122 Phone: 262-785-9188
Nancy Winston, LPC-IT Counselor Medicare: Medicare Enrolled Practice Location: 15285 Watertown Plank Rd, Elm Grove, WI 53122 Phone: 262-797-2818 Fax: 262-797-2814
Autumn Verstegan Melian, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13000 W Bluemound Rd Ste 300, Elm Grove, WI 53122 Phone: 262-785-9188

Coleen Rae Kittleson, LPC, NCC - Medicare Counselor in Elm Grove, WI