Provider Demographics
NPI:1326412693
Name:JANUSHESKE, KARI (LPC)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:
Last Name:JANUSHESKE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:
Other - Last Name:KRYSHAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5204 70TH ST # MS 958
Mailing Address - Street 2:
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53142-3624
Mailing Address - Country:US
Mailing Address - Phone:262-960-6463
Mailing Address - Fax:
Practice Address - Street 1:4810 NORTHWESTERN AVE
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:WI
Practice Address - Zip Code:53406-1504
Practice Address - Country:US
Practice Address - Phone:262-637-9984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-24
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5930-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1326412693Medicaid