Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Koren Mickelson

Individual provider Marriage & Family Therapist · NPI 1629830880

Koren Mickelson is a Marriage and Family Therapist in Eau Claire, Wisconsin. Qualified in 2020, 6 years ago. Practices with Nystrom and Associates Counseling Wi SC, a 114-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2024
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Practice location Address checks out

3703 Oakwood Hills Pkwy
Eau Claire, WI 54701-4458
Phone: (534) 444-4562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1629830880
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 24, 2024
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Nystrom And Associates Counseling Wi Sc — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Nystrom and Associates Counseling Wi SC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 114 clinicians in the practice; 12 are shown here.

Other providers in Eau Claire