Individual provider Active NPI

Ted Christopher Guszkowski, LCSW, SAC

  • Addiction (Substance Use Disorder) Counselor
  • West Bend, WI
National Provider Identifier
1285920736
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
15745-131 Issued in WI
Practice address
333 E Washington St Ste 2100
West Bend, WI 53095-2503
Phone
(262) 335-4557
NPI assigned
Jun 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15745-131 WI Primary

Addresses

Primary practice location

333 E Washington St Ste 2100
West Bend, WI 53095-2503

Mailing address

PO Box 2003
West Bend, WI 53095-2003
Phone (262) 335-4557

Other identifiers 1

IdentifierTypeStateIssuer
1285920736MedicaidWI

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1285920736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2003",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530952003",
            "telephone_number": "262-335-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E WASHINGTON ST STE 2100",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530952503",
            "telephone_number": "262-335-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSZKOWSKI",
        "first_name": "TED",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "LCSW, SAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15745-131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285920736",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.