Lisa Gutzke, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4455-125 Issued in WI

Practice address

251 Progress Way Ste 102
Waunakee, WI 53597-2520

Phone

(608) 849-5430

Fax

(858) 225-7950

NPI assigned

Nov 19, 2010

Last updated

Feb 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Tovana Counseling, LLC

  • Mental Health Counselor
  • Monona, WI
  • NPI 1588426282
  NPD Authorized official
• Psychotherapy Center of Waunakee LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waunakee, WI
  • NPI 1578196168
  NPD (past)

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707523200000",
    "number": "1083916217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 PROGRESS WAY STE 102",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535972520",
            "telephone_number": "608-849-5430",
            "fax_number": "858-225-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 PROGRESS WAY STE 102",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535972520",
            "telephone_number": "608-849-5430",
            "fax_number": "858-225-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTZKE",
        "first_name": "LISA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-19",
        "last_updated": "2024-02-10",
        "certification_date": "2024-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "20322-130",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4455-125",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4455-125",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083961217",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elle K Grahn
• Ruth Anne Greiber, LPC-IT
• Molly Grupe
• Matthew Jacob Gumm, PHARMD
• Gundersen Lutheran Medical Center Inc
• Jennifer M Hamilton, DDS
• Jessica Harmatys
• Heather Marie Hartwig Stokes, P.T.
• Jacob Heffelfinger, OD
• Mathew Patrick Herbst, MD

• Mental Health Counselor in Waunakee, WI
• Providers in Waunakee, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.