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

Derek Schattl

Individual provider Professional Counselor · NPI 1679341879

Derek Schattl is a Mental Health Counselor in Kenosha, Wisconsin. Qualified in 2020, 6 years ago. Works from 4 locations. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2023
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Practice location Address checks out

1400 75th St
Kenosha, WI 53143-1544
Phone: (262) 909-6008
Fax: (262) 764-8048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 17 Park Pl Ste 400, Appleton, WI 54914-8271 — (920) 574-3096
  • 2545 Roosevelt Rd Ste 105, Marinette, WI 54143-3885 — (715) 701-4456
  • 10012 W Capitol Dr, Milwaukee, WI 53222-1338 — (414) 810-4844

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 7544-226 (WI)

Record details

NPI number1679341879
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 18, 2023
Last updated in NPPESDecember 18, 2023
Certification dateDecember 17, 2023
Mailing address6328 73rd St Apt 106, Kenosha, WI 53142-3501

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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