Individual provider Active NPI

Cherie Cisewski

  • Professional Counselor
  • Stevens Point, WI
National Provider Identifier
1396262648
Registry record updated Aug 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3475-226 Issued in WI
Practice address
5663 Regent St
Stevens Point, WI 54482-9171
Phone
(715) 340-6936
NPI assigned
Aug 28, 2017
Last updated
Aug 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2017

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 3475-226 WI Primary

Addresses

Primary practice location

5663 Regent St
Stevens Point, WI 54482-9171

Mailing address

5663 Regent St
Stevens Point, WI 54482-9171
Phone (715) 340-6936

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250401000952 WI Practitioner - Mental Health Counselor 4587187406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Wisconsin Mental Health Associates, SCGroup PAC ID 7012437510, 6 clinicians

Practice addresses (Care Compare)

1699 Schofield Ave
Suite 120
Schofield, WI 54476-2332
Phone (715) 907-1880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3475-226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Central Wisconsin Mental Health Associates, SC Professional CurrentSince Feb 20, 2025 Accepting new patients

Locations

1699 Schofield Ave
Ste 120
Schofield, WI 54476
Phone (715) 907-1880

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503878400000",
    "number": "1396262648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5663 REGENT ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544829171",
            "telephone_number": "715-340-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5663 REGENT ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544829171",
            "telephone_number": "715-340-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISEWSKI",
        "first_name": "CHERIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3475-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

Verify at the official NPI Registry.