Individual provider Active NPI

Sarah Gerbers, LPC, SAC IT

  • Professional Counselor
  • Green Bay, WI
National Provider Identifier
1336884477
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11056 Issued in WI
Practice address
630 Cherry St
Green Bay, WI 54301-4931
Phone
(920) 435-2093
Fax
(920) 435-2580
NPI assigned
May 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 19558-130 WI
Professional Counselor 101YP2500X 11056 WI Primary

Addresses

Primary practice location

630 Cherry St
Green Bay, WI 54301-4931

Mailing address

PO Box 1085
Green Bay, WI 54305-1085
Phone (920) 435-2093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250122000785 WI Practitioner - Mental Health Counselor 8022547900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19558-130WIMDAddiction (Substance Use Disorder) Counselor
11056WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jackie Nitschke Center, Inc. PastSince May 1, 2022 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": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1336884477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1085",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543051085",
            "telephone_number": "920-435-2093",
            "fax_number": "920-435-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 CHERRY ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014931",
            "telephone_number": "920-435-2093",
            "fax_number": "920-435-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBERS",
        "first_name": "SARAH",
        "credential": "LPC, SAC IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "19558-130",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "11056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.