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

Keith Knutson

Individual provider Professional Counselor · NPI 1205377447

Keith Knutson is a Mental Health Counselor in Wauwatosa, Wisconsin. Qualified in 2017, 9 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
9
Licensed in
WI
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1220 Dewey Ave
Wauwatosa, WI 53213-2504
Phone: (414) 773-4312
Fax: (414) 454-6789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2759 S 57th St, Milwaukee, WI 53219-3144 — (262) 441-9913

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 10407 (WI)
Professional Counselor Taxonomy 101YP2500X · Licence 10407125 (WI)

Record details

NPI number1205377447
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2017
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Wauwatosa