Active NPI
Paulette Marie Sears, MS LPC
- Mental Health Counselor
- Manitowoc, WI
National Provider Identifier
1184630188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3228125
- Practice address
- 115 East Waldo Blvd
Manitowoc, WI 54220 - Phone
- (920) 682-6087
- Fax
- (920) 682-6087
- NPI assigned
- Jul 31, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3228125 | WI | Primary |
Addresses
Primary practice location
115 East Waldo Blvd
Manitowoc, WI 54220
Mailing address
4555 West Schroeder Drive
Suite 170
Milwaukee, WI 53223
Phone (414) 365-3210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40937700 | Medicaid | WI |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3228125 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Behavioral Health Services, LLC | Past | Accepting new patients | |
| Hall Psychological Services LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Appleton, WI
- NPI 1275765513
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Two Rivers, WI
- NPI 1871514778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184630188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4555 WEST SCHROEDER DRIVE",
"address_2": "SUITE 170",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53223",
"telephone_number": "414-365-3210",
"fax_number": "414-365-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 EAST WALDO BLVD",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "54220",
"telephone_number": "920-682-6087",
"fax_number": "920-682-6087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEARS",
"first_name": "PAULETTE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MS LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "3228125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40937700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manitowoc, WI
- Susan Leslie Schum-Knickelbine, O.T.R., C.H.T.
- Susan Marie Schutz, LICSW CEAP
- Cassandra Ann Schwartz, PTA
- Valerie Scoresese, RN
- Sean T Benham MDSC
- William J Seder, DC
- Jerel Sehloff, RPH
- Stephen Robert Seifert, RD,CD
- Select Physical Therapy of Green Bay Limited Partnership
- Selected Transportation, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.