Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740396241 Individual Practitioner Female Practitioner

Devona Marshall , LPC

Counselor - Professional • West Bend, WI

Professional Overview & Biography Verified Profile Summary

Devona Marshall, LPC is a certified Counselor - Professional practicing in West Bend, WI. With approximately 25 years of clinical experience since completing medical education in 2001, Devona Marshall delivers high-quality medical care to the local community at 400 W RIVER DR.

Devona Marshall is affiliated with Kettle Moraine Counseling Llc and does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

400 W River Dr

West Bend, WI 530901518

Telephone 2623344340
Fax 2623344341
Associated Practice Facility / Clinic
🏢 Kettle Moraine Counseling Llc Facility NPI 1568790954

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in West Bend, WI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs +12.8 yrs vs City Avg
City Avg: 12.2 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
58 Specialists

Practicing in West Bend, WI (4511 Statewide)

Telehealth Adoption Rate
3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Marshall (25 Years) 25 Yrs
West Bend Specialty Average (12.2 Years) 12.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2019-12-19
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WI 3514-125

Definition to come...

Counselor

NUCC Taxonomy Code: 101Y00000X

State License WI 3514-125

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
40984400 (WI)

Hospital & Practice Group Affiliations

Kettle Moraine Counseling Llc

400 W River Dr, West Bend, WI 530901518

Phone: 262334434013

Practice Associates & Co-Workers

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

35 Associated Practitioners
NPI 1013539097
Hollister Jefferson , MA, SAC-IT

Counselor - Mental Health

NPI 1053059592

Master of Arts, SACIT

Jennifer Skinner

Counselor - Professional

NPI 1063779700
Chloe Schulz , LPC

Counselor - Professional

NPI 1073096707

Licensed Professional Counselor

NPI 1093197170

Licensed Professional Counselor

Julie Carpenter

Counselor - Mental Health

NPI 1134414543

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 19, 2019

Registered at 400 W RIVER DR, WEST BEND, WI 530901518 (Tel: 2623344340)

📍
Updated Business Mailing Address December 19, 2019

Registered at 400 W RIVER DR, WEST BEND, WI 530901518 (Tel: 2623344340)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2019

Counselor (License #3514-125 in WI)

NPI Profile Active December 16, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 16, 2010

Registered at 125 N 6TH AVE STE 201, WEST BEND, WI 530953394 (Tel: 2623344340)

📍
Updated Business Mailing Address December 16, 2010

Registered at 125 N 6TH AVE STE 201, WEST BEND, WI 530953394 (Tel: 2623344340)

👤
Provider Name / Credentials Updated December 16, 2010

Recorded as DEVONA MARSHALL, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2010

Counselor (License #3514-125 in WI)

🟢
Initial NPI Registration & Enumeration August 21, 2006

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: 1740396241
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2006
Last Update: December 19, 2019
Sole Proprietor: No

Mailing Address

400 W River Dr

West Bend, WI 530901518

Phone: 2623344340

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.