Active NPI
Tracy M Siebers, LPC
- Professional Counselor
- Neenah, WI
National Provider Identifier
1336377415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4150-125
- Practice address
- 1075 S Lake St Ste 206
Neenah, WI 54956-3194 - Phone
- (920) 642-2571
- Fax
- (920) 666-0946
- NPI assigned
- Jun 26, 2009
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4150-125 | WI | Primary |
Addresses
Primary practice location
1075 S Lake St Ste 206
Neenah, WI 54956-3194
Mailing address
1075 S Lake St Ste 206
Neenah, WI 54956-3194
Phone (920) 642-2571
Other practice location 1
145 W Wisconsin Ave
Neenah, WI 54956-3075
Phone (920) 212-6050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100004141 | Medicaid | WI |
Other names 1
- Tracy M Fabian
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4150-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1336377415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 S LAKE ST STE 206",
"city": "NEENAH",
"state": "WI",
"postal_code": "549563194",
"telephone_number": "920-642-2571",
"fax_number": "920-666-0946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 S LAKE ST STE 206",
"city": "NEENAH",
"state": "WI",
"postal_code": "549563194",
"telephone_number": "920-642-2571",
"fax_number": "920-666-0946"
}
],
"practiceLocations": [
{
"address_1": "145 W Wisconsin Ave",
"address_purpose": "LOCATION",
"city": "Neenah",
"state": "WI",
"postal_code": "549563075",
"country_code": "US",
"telephone_number": "920-212-6050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIEBERS",
"first_name": "TRACY",
"middle_name": "M",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-26",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "4150-125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100004141",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "FABIAN",
"middle_name": "M",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.