Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447855168 Individual Practitioner Female Practitioner

Kyra Egan

Counselor - Professional • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Kyra Egan is a registered healthcare professional specializing in Counselor - Professional in Appleton, WI. Practice services are available at 4635 W COLLEGE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4635 W College Ave

Appleton, WI 549148507

Telephone 9207507000
Associated Practice Facility / Clinic
🏢 Catalpa Health Facility NPI 1386992451

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Appleton, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.1 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
194 Specialists

Practicing in Appleton, WI (4511 Statewide)

Telehealth Adoption Rate
4.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-28
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WI 4985-226

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Maria Vercimak , LPC

Counselor - Professional

NPI 1003279753

Licensed Professional Counselor

Dr. Mark Rovick , DO

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1003866864

Doctor of Osteopathic Medicine (D.O.)

Yer Thao

Counselor - Professional

NPI 1023702156
Scott Radtke , LPC

Counselor - Professional

NPI 1033106794

Licensed Professional Counselor

Stephanie Shirey

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043672504
Lisa Engelhardt , APNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043686538

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location October 28, 2024

Registered at 4635 W COLLEGE AVE, APPLETON, WI 549148507 (Tel: 9207507000)

📍
Updated Business Mailing Address October 28, 2024

Registered at 4635 W COLLEGE AVE, APPLETON, WI 549148507

👤
Provider Name / Credentials Updated October 28, 2024

Recorded as KYRA EGAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2024

Counselor

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2021

Counselor (License #4985-226 in WI)

NPI Profile Active December 01, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2020

Registered at 8901 W CAPITOL DR, MILWAUKEE, WI 532221706 (Tel: 4144631880)

📍
Updated Business Mailing Address December 01, 2020

Registered at N72W12801 GOOD HOPE RD UNIT 105, MENOMONEE FALLS, WI 530514430 (Tel: 9205702166)

👤
Provider Name / Credentials Updated December 01, 2020

Recorded as KYRA PIETTE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration December 01, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447855168
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2020
Last Update: October 28, 2024
Sole Proprietor: No

Mailing Address

4635 W College Ave

Appleton, WI 549148507

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.