Active NPI
Sarah Petroskey, LPC
- Professional Counselor
- Antigo, WI
National Provider Identifier
1144543034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4346-125
- Practice address
- 1225 Langlade Rd
Antigo, WI 54409-2762 - Phone
- (715) 627-6694
- Fax
- (715) 627-6645
- NPI assigned
- Mar 5, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4346-125 | WI | Primary |
Addresses
Primary practice location
1225 Langlade Rd
Antigo, WI 54409-2762
Mailing address
1100 Lake View Dr
Wausau, WI 54403-6785
Phone (715) 848-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4346-125 | Other | WI | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4346-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267747200000",
"number": "1144543034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 LAKE VIEW DR",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544036785",
"telephone_number": "715-848-4600",
"fax_number": "715-845-5398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 LANGLADE RD",
"city": "ANTIGO",
"state": "WI",
"postal_code": "544092762",
"telephone_number": "715-627-6694",
"fax_number": "715-627-6645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETROSKEY",
"first_name": "SARAH",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-05",
"last_updated": "2010-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "4346-125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "4346-125",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Antigo, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.