Individual provider Active NPI

Sienna Warnecke, LPC

  • Professional Counselor
  • Grafton, WI
National Provider Identifier
1194586792
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10797125 Issued in WI
Practice address
1245 Cheyenne Ave Ste 200
Grafton, WI 53024-9323
Phone
(262) 233-1818
Fax
(262) 421-8681
NPI assigned
Jan 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10797125 WI Primary

Addresses

Primary practice location

1245 Cheyenne Ave Ste 200
Grafton, WI 53024-9323

Mailing address

1245 Cheyenne Ave Ste 200
Grafton, WI 53024-9323
Phone (262) 233-1818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240619002274 WI Practitioner - Mental Health Counselor 6507309465 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10797125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Community Health Care, Inc CurrentSince Apr 22, 2024 Accepting new patients
Lakeshore Community Health Care, Inc Current Accepting new patients
Lakeshore Community Health Care, Inc CurrentSince Apr 22, 2024 Accepting new patients

Locations

2719 Calumet Ave
Manitowoc, WI 54220
Phone (920) 686-2333

819 Kentucky Ave
Sheboygan, WI 53081
Phone (920) 783-6633

908 W Washington St
West Bend, WI 53095
Phone (262) 306-3500

Organizations & group practices 3

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": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1194586792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 CHEYENNE AVE STE 200",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530249323",
            "telephone_number": "262-233-1818",
            "fax_number": "262-421-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 CHEYENNE AVE STE 200",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530249323",
            "telephone_number": "262-233-1818",
            "fax_number": "262-421-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNECKE",
        "first_name": "SIENNA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10797125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, WI

Sources for this page

Verify at the official NPI Registry.