Individual provider Active NPI

Stephanie L Medsker, LPC

  • Professional Counselor
  • Fitchburg, WI
National Provider Identifier
1033693486
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10440 Issued in WI
Practice address
2923 Marketplace Dr Ste 204
Fitchburg, WI 53719-5321
Phone
(800) 693-1916
Fax
(248) 605-3525
NPI assigned
Sep 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4104-226 WI
Counselor 101Y00000X 10440 WI
Professional Counselor 101YP2500X 10440 WI Primary

Addresses

Primary practice location

2923 Marketplace Dr Ste 204
Fitchburg, WI 53719-5321

Mailing address

17 S River St Ste 254
Janesville, WI 53548-3863

Other practice location 1

3275A S 99th St
Milwaukee, WI 53227-4284
Phone (414) 554-2930

Other names 1

  • Stephanie Feil Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126000256 WI Practitioner - Mental Health Counselor 0941735179 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10440WIMDProfessional Counselor
4104-226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trivium LLC CurrentSince Feb 1, 2020 Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince Nov 19, 2024 Accepting new patients
Trivium LLC PastSince Feb 1, 2020 Accepting new patients
Healing Stone Counseling PastSince Mar 31, 2024 Accepting new patients

Locations

2923 Marketplace Dr
Ste 204
Fitchburg, WI 53719
Phone (608) 549-5781

17 S River St
Ste 254
Janesville, WI 53548
Phone (608) 755-5260

707 W Moreland Blvd
Ste 7
Waukesha, WI 53188
Phone (262) 217-0002

26422 Oakridge Dr
Ste 106
Wind Lake, WI 53185

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1033693486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 S RIVER ST STE 254",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535483863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 MARKETPLACE DR STE 204",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537195321",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3275A S 99th St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532274284",
            "country_code": "US",
            "telephone_number": "414-554-2930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDSKER",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4104-226",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "10440",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "FEIL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fitchburg, WI

Sources for this page

Verify at the official NPI Registry.