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

Kyle Butler, LPC-IT

Individual provider Professional Counselor · NPI 1548965148

Kyle Butler, LPC-IT is a Mental Health Counselor in Kenosha, Wisconsin. Qualified in 2022, 4 years ago. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2023

Practice location Address checks out

2108 63rd St
Kenosha, WI 53143-4454
Phone: (262) 652-2406
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 12194-125 (WI)

Record details

NPI number1548965148
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC-IT
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing address6233 39th Ave, Kenosha, WI 53142-7015

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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