Provider Demographics
NPI:1457671638
Name:KAYE, MEGAN A (LPC)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:A
Last Name:KAYE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:A
Other - Last Name:PAGEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1825 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54301-2316
Mailing Address - Country:US
Mailing Address - Phone:920-272-8234
Mailing Address - Fax:651-323-2648
Practice Address - Street 1:1825 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54301-2316
Practice Address - Country:US
Practice Address - Phone:920-272-8234
Practice Address - Fax:651-323-2648
Is Sole Proprietor?:No
Enumeration Date:2010-06-10
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1457671638Medicaid