Individual provider Active NPI

Stefanie Sladky, LPC-IT

  • Professional Counselor
  • Weston, WI
National Provider Identifier
1316757644
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8255-226 Issued in WI
Practice address
4601 Camp Phillips Rd
Weston, WI 54476-1572
Phone
(715) 848-5022
Fax
(888) 778-6750
NPI assigned
Jan 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8255-226 WI Primary

Addresses

Primary practice location

4601 Camp Phillips Rd
Weston, WI 54476-1572

Mailing address

326 Broadway Ave
Wausau, WI 54403-6846
Phone (262) 844-4733

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

LicenseStateTypeSpecialty
8255-226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Centre for Well-Being, Inc PastSince Jan 12, 2025 Accepting new patients

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": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1316757644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 BROADWAY AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544036846",
            "telephone_number": "262-844-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 CAMP PHILLIPS RD",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544761572",
            "telephone_number": "715-848-5022",
            "fax_number": "888-778-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLADKY",
        "first_name": "STEFANIE",
        "credential": "LPC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8255-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.