Active NPI
Thomas Patrick Sebora, MSW
- Addiction (Substance Use Disorder) Counselor
- Appleton, WI
National Provider Identifier
1245207158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 12024
- Practice address
- 214 E Summer St
Appleton, WI 54911-4814 - Phone
- (920) 734-2601
- Fax
- (920) 727-1081
- NPI assigned
- Mar 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12024 | WI | Primary |
| Mental Health Counselor | 101YM0800X | 294123 | WI | |
| Marriage & Family Therapist | 106H00000X | 271124 | WI |
Addresses
Primary practice location
214 E Summer St
Appleton, WI 54911-4814
Mailing address
E1952 Nelson Rd
Waupaca, WI 54981-7545
Phone (715) 467-2168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39626100 | 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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 294123 | WI | MD | Mental Health Counselor |
| 271124 | WI | MD | Marriage & Family Therapist |
| 294 | WI | MD | Medical Physician Assistant |
| 12024 | WI | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1245207158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "E1952 NELSON RD",
"city": "WAUPACA",
"state": "WI",
"postal_code": "549817545",
"telephone_number": "715-467-2168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 E SUMMER ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549114814",
"telephone_number": "920-734-2601",
"fax_number": "920-727-1081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEBORA",
"first_name": "THOMAS",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "12024",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "294123",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "271124",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39626100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.