Sadie Graveen, LPC-IT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5101-226 Issued in WI

Practice address

111 W Jackson St
Wisconsin Rapids, WI 54495-2702

Phone

(715) 421-8865

NPI assigned

Jan 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of WoodGroup PAC ID 3476554692, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• County of Wood

  • Professional Counselor
  • Wisconsin Rapids, WI
  • NPI 1063638088

  WI

  Medicare reassignment Care Compare group NPD
• County of Wood

  • Psychiatric Hospital
  • Marshfield, WI
  • NPI 1508840844
  NPD

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1336800804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 4TH ST",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544551640",
            "telephone_number": "715-297-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W JACKSON ST",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544952702",
            "telephone_number": "715-421-8865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 N Chestnut Ave",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544491449",
            "country_code": "US",
            "telephone_number": "715-421-3277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVEEN",
        "first_name": "SADIE",
        "credential": "LPC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "5101-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce David Gordon, MD
• Edward J Grabiec
• Morgan Graf, OTD
• Amber Lynee Grams, LPN
• Terri L Grasser, OTR
• Anna M Gresch, PHD,CCC-SLP
• Lisa Griffith, RN
• Suzanne B Grimm, MD
• Logan Therese Grovesteen
• Marissa Grubba

• Mental Health Counselor in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.