Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kettle Moraine Counseling LLC

Organization Community/Behavioral Health Agency · NPI 1568790954

Kettle Moraine Counseling LLC is a Community/Behavioral Health Agency in West Bend, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2009.

Licensed in
WI
In the registry since
2009
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

400 W River Dr
West Bend, WI 53090-1567
Phone: (262) 334-4340
Fax: (262) 334-4341
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence 3514-125 (WI)

Record details

NPI number1568790954
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Devona Marshall — Owner/Director · (262) 334-4340
Other names Kettle Moraine Counseling
NPI enumeratedNovember 24, 2009
Last updated in NPPESJanuary 14, 2020
Certification dateJanuary 14, 2020
Mailing address400 W River Dr, West Bend, WI 53090-1567

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