Individual provider Active NPI

Patricia Joan Szambelan, MS,LPC,CSAC

  • Professional Counselor
  • Sun Prairie, WI
National Provider Identifier
1275028508
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7797 Issued in WI
Practice address
787 Lois Dr
Sun Prairie, WI 53590-1177
Phone
(608) 931-2805
NPI assigned
Jun 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 7797-125 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X 16446-132 WI
Mental Health Counselor 101YM0800X 7797-125 WI
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 7797-125 WI
Professional Counselor 101YP2500X 7797 WI Primary

Addresses

Primary practice location

787 Lois Dr
Sun Prairie, WI 53590-1177

Mailing address

4140 Gandy Dancer Rd
Deforest, WI 53532-9118
Phone (608) 931-2805

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
I20241218003637 WI Practitioner - Mental Health Counselor 8527595297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Wisconsin School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PJS, LLCGroup PAC ID 7618404385, 5 clinicians

Practice addresses (Care Compare)

787 Lois Dr
Sun Prairie, WI 53590-1177
Phone (608) 444-0585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
16446-132WIMDAddiction (Substance Use Disorder) Counselor
7797WIMDProfessional Counselor
7797-125WIMDMental Health Clinic/Center (Including Community Mental Health Center)

Practice roles

OrganizationSpecialtyStatusNew patients
PJS LLC Mental Health CurrentSince Nov 10, 2024 Accepting new patients

Locations

787 Lois Dr
Sun Prairie, WI 53590
Phone (608) 299-9697

Organizations & group practices 1

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": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1275028508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 GANDY DANCER RD",
            "city": "DEFOREST",
            "state": "WI",
            "postal_code": "535329118",
            "telephone_number": "608-931-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 LOIS DR",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901177",
            "telephone_number": "608-931-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZAMBELAN",
        "first_name": "PATRICIA",
        "middle_name": "JOAN",
        "credential": "MS,LPC,CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "7797-125",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16446-132",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7797-125",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "7797-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Prairie, WI

Sources for this page

Verify at the official NPI Registry.