Kenneth Lamar Prust is a Beaver Dam, Wisconsin based counselor who is specialized as Mental Health Counselor. Active license number of Kenneth Lamar Prust is 6795-123 for Mental Health Counselor in Wisconsin. His current practice location is 1200 N Center St, Beaver Dam. Patients can book an appointment with him at 920-887-3171.
Kenneth Lamar Prust is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. He assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Kenneth Lamar Prust speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Kenneth Lamar Prust |
| Specialization: | Mental Health Counselor |
| Gender: | Male |
| Credentials: | LCSW |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1200 N Center St, Beaver Dam,
Wisconsin, 53916-1148 |
| Phone: | 920-887-3171 |
| Fax: | 920-887-8662 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1134113178 |
| NPI Enumeration Date: | 06 Sep, 2005 |
| NPI Last Update On: | 09 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth Lamar Prust are as mentioned below.
| License Number | Specialization | State | Status | |
| 6795-123 | Mental Health Counselor | Wisconsin | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kenneth Lamar Prust such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 43579800 | Medicaid | Wisconsin | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | N7377 Malibou Ln,
Beaver Dam, Wisconsin |
| Zip: | 53916-9534 |
| Phone Number: | 920-887-2517 |
| Fax Number: | 920-887-8662 |
Patients can reach Kenneth Lamar Prust at
1200 N Center St, Beaver Dam, Wisconsin or can
call to book an appointment on 920-887-3171.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.