Individual provider Active NPI

Debra Roberts, SAC, LPC

  • Professional Counselor
  • Wausau, WI
National Provider Identifier
1255817151
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4873-226 Issued in WI
Practice address
731 N 1St St Ste 5000
Wausau, WI 54403-4727
Phone
(715) 675-3458
NPI assigned
Jul 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 18434-130 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X 16463-131 WI
Professional Counselor 101YP2500X 4873-226 WI Primary

Addresses

Primary practice location

731 N 1St St Ste 5000
Wausau, WI 54403-4727

Mailing address

731 N 1St St Ste 5000
Wausau, WI 54403-4727
Phone (715) 297-0972

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
I20240903001355 WI Practitioner - Mental Health Counselor 9638618739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Connection Health Care, Inc.Group PAC ID 3870577935, 9 clinicians

Practice addresses (Care Compare)

1810 N 2ND St
Wausau, WI 54403-3492
Phone (715) 848-4884

731 N 1St St
Suite 5000
Wausau, WI 54403-4727
Phone (715) 848-9884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16463-131WIMDAddiction (Substance Use Disorder) Counselor
18434-130WIMDAddiction (Substance Use Disorder) Counselor
4873-226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Solutions Counseling CurrentSince Dec 17, 2023 Accepting new patients
Primary Connection Health Care, Inc. CurrentSince Jun 21, 2024 Accepting new patients

Locations

1810 N 2nd St
Wausau, WI 54403
Phone (715) 848-4884

731 N 1st St
Ste 5000
Wausau, WI 54403
Phone (715) 675-3458

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": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1255817151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 N 1ST ST STE 5000",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034727",
            "telephone_number": "715-297-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 N 1ST ST STE 5000",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034727",
            "telephone_number": "715-675-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "DEBRA",
        "credential": "SAC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "18434-130",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16463-131",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4873-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.