Individual provider Active NPI

Emily Portschy, SACIT

  • Addiction (Substance Use Disorder) Counselor
  • Waldo, WI
National Provider Identifier
1194449652
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
19408 Issued in WI
Practice address
1102 W 1St St
Waldo, WI 53093-1309
Phone
(920) 894-1374
Fax
(920) 894-1373
NPI assigned
Sep 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 19408 WI Primary

Addresses

Primary practice location

1102 W 1St St
Waldo, WI 53093-1309

Mailing address

PO Box 347
Kiel, WI 53042-0347
Phone (920) 894-1374

Other practice location 1

13127 Lax Chapel Rd
Kiel, WI 53042-3954
Phone (920) 894-1374

Other practice location 2

13111 Lax Chapel Rd
Kiel, WI 53042-3954
Phone (920) 894-1374

Other practice location 3

530 State Road 67
Kiel, WI 53042-1650
Phone (920) 894-1374

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

LicenseStateTypeSpecialty
19408WIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways to a Better Life, LLC CurrentSince Oct 2, 2022 Accepting new patients
Pathways to a Better Life, LLC PastSince Jul 25, 2021 Accepting new patients

Locations

13111 Lax Chapel Rd
Kiel, WI 53042
Phone (920) 286-4489

1102 W 1st St
Waldo, WI 53093
Phone (920) 528-8800

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.

NPI Registry JSON

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1194449652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 347",
            "city": "KIEL",
            "state": "WI",
            "postal_code": "530420347",
            "telephone_number": "920-894-1374",
            "fax_number": "920-894-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W 1ST ST",
            "city": "WALDO",
            "state": "WI",
            "postal_code": "530931309",
            "telephone_number": "920-894-1374",
            "fax_number": "920-894-1373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13127 Lax Chapel Rd",
            "address_purpose": "LOCATION",
            "city": "Kiel",
            "state": "WI",
            "postal_code": "530423954",
            "country_code": "US",
            "telephone_number": "920-894-1374",
            "fax_number": "920-894-1373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13111 Lax Chapel Rd",
            "address_purpose": "LOCATION",
            "city": "Kiel",
            "state": "WI",
            "postal_code": "530423954",
            "country_code": "US",
            "telephone_number": "920-894-1374",
            "fax_number": "920-894-1373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 State Road 67",
            "address_purpose": "LOCATION",
            "city": "Kiel",
            "state": "WI",
            "postal_code": "530421650",
            "country_code": "US",
            "telephone_number": "920-894-1374",
            "fax_number": "920-894-1373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTSCHY",
        "first_name": "EMILY",
        "credential": "SACIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "19408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldo, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.