Shereese Clark, CSAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

15866-132 Issued in WI

Practice address

255 W Broadway
Waukesha, WI 53186-4832

Phone

(262) 420-9088

Fax

(262) 458-4102

NPI assigned

Nov 9, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Iris Health Clinic

  • Substance Abuse Rehabilitation Facility
  • Brodhead, WI
  • NPI 1902501208
  NPD (past)
• Iris Health Clinic LLC

  • Substance Abuse Rehabilitation Facility
  • Brookfield, WI
  • NPI 1114415908
  NPD (past)

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1194026013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W BROADWAY",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864832",
            "telephone_number": "262-420-9088",
            "fax_number": "262-458-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W BROADWAY",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864832",
            "telephone_number": "262-420-9088",
            "fax_number": "262-458-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SHEREESE",
        "credential": "CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15866-132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Waukesha
• Paulina Ciurro-Ott, MSW, LCSW
• CJ Hussussian MD SC
• Wingate Foster Clapper, MD
• Clarity Eyecare 2401, SC
• Anna Lee Claus, LPC
• Ana Nicole Clavijo, MD
• Jayden Mae Clemetson, RDN
• Kathleen Coffey-Guenther, PH.D.
• Edward L Cohen, LCSW

• Addiction (Substance Use Disorder) Counselor in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.