Active NPI
Sheri H Grev ER-Skomski, SAC
- Addiction (Substance Use Disorder) Counselor
- Elkhorn, WI
National Provider Identifier
1306013081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 15424-131
- Practice address
- W4051 County Road NN
Elkhorn, WI 53121-4338 - Phone
- (262) 741-3200
- NPI assigned
- May 13, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15424-131 | WI | Primary |
Addresses
Primary practice location
W4051 County Road NN
Elkhorn, WI 53121-4338
Mailing address
PO Box 1005
Elkhorn, WI 53121-1005
Phone (262) 741-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15424-131 | Other | WI | SAC |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15424-131 | WI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1306013081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1005",
"city": "ELKHORN",
"state": "WI",
"postal_code": "531211005",
"telephone_number": "262-741-3200",
"fax_number": "262-741-3217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W4051 COUNTY ROAD NN",
"city": "ELKHORN",
"state": "WI",
"postal_code": "531214338",
"telephone_number": "262-741-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREV ER-SKOMSKI",
"first_name": "SHERI",
"middle_name": "H",
"credential": "SAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-13",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "15424-131",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAC",
"identifier": "15424-131",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkhorn, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.