Active NPI
Debra Roberts, SAC, LPC
- Professional Counselor
- Wausau, WI
National Provider Identifier
1255817151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4873-226
- 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
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 | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16463-131 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 18434-130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 4873-226 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peaceful Solutions Counseling | Current | Accepting new patients | |
| Primary Connection Health Care, Inc. | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Wausau, WI
- NPI 1457370744
-
- Community/Behavioral Health Agency
- Wausau, WI
- NPI 1952525446
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.