Ivy Noel Sutek, CSAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

17091-132 Issued in WI

Practice address

1557 Cleveland Avenue
Marinette, WI 54143

Phone

(715) 732-6868

Fax

(715) 732-6866

NPI assigned

Oct 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Peace Counseling & Support Services LLC

  • Mental Health Counselor
  • Marinette, WI
  • NPI 1992633309

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Nicklaus Counseling Center SC

  • Professional Counselor
  • Marinette, WI
  • NPI 1033659271
  NPD

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1346881992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557 CLEVELAND AVE",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541433920",
            "telephone_number": "715-732-6868",
            "fax_number": "715-732-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 CLEVELAND AVENUE",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "54143",
            "telephone_number": "715-732-6868",
            "fax_number": "715-732-6866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N2450 County Road 577",
            "address_purpose": "LOCATION",
            "city": "Menominee",
            "state": "MI",
            "postal_code": "498589770",
            "country_code": "US",
            "telephone_number": "715-732-6868",
            "fax_number": "715-732-6866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTEK",
        "first_name": "IVY",
        "middle_name": "NOEL",
        "credential": "CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "2-01960",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17091-132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100096702",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346881992",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES",
            "identifier": "18963130",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard S Stein, M.D.
• Mark D. Stephens, CSAC
• Marne Marie Sterzing, APNP
• Judy Marie Story, LPN
• Superior Health and Medical Care
• Megan Leona Swan, AUD
• Lisa Joy Swanson, L.P.N
• Michael Swanson, CRNA
• Jeffrey A Swift, MD
• Sandra L Swing, D.D.S.

• Addiction (Substance Use Disorder) Counselor in Marinette, WI
• Providers in Marinette, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.