Provider Demographics
NPI:1811412521
Name:KRIEN, KARLYE (LPC)
Entity Type:Individual
Prefix:
First Name:KARLYE
Middle Name:
Last Name:KRIEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KARLYE
Other - Middle Name:
Other - Last Name:WEHNER
Other - Suffix:X
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9000 W WISCONSIN AVE # MS 958
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4874
Mailing Address - Country:US
Mailing Address - Phone:414-266-7451
Mailing Address - Fax:
Practice Address - Street 1:6809 122ND AVE
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53142-7335
Practice Address - Country:US
Practice Address - Phone:262-652-5522
Practice Address - Fax:262-652-7228
Is Sole Proprietor?:No
Enumeration Date:2017-08-03
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7445-125101YP2500X
WI3613-226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1811412521Medicaid