Individual provider Active NPI

Marissa Anne Sauer, LPC

  • Professional Counselor
  • Appleton, WI
National Provider Identifier
1427626597
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10633-125 Issued in WI
Practice address
1011 N Lynndale Dr Ste 2D
Appleton, WI 54914-3091
Phone
(920) 385-1420
Fax
(866) 327-3295
NPI assigned
Jun 15, 2021
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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 10633-125 WI Primary

Addresses

Primary practice location

1011 N Lynndale Dr Ste 2D
Appleton, WI 54914-3091

Mailing address

PO Box 282
Black Creek, WI 54106-0282
Phone (920) 570-2314

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
I20240917001050 WI Practitioner - Mental Health Counselor 1658812763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Integrity Counseling LLCGroup PAC ID 4082047048, 4 clinicians

Practice addresses (Care Compare)

1011 N Lynndale Dr
Suite 2D
Appleton, WI 54914-3091
Phone (920) 385-1420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Donath Psychological Services S C Professional CurrentSince Jun 1, 2026 Accepting new patients
Integrity Counseling, LLC CurrentSince Aug 12, 2024 Accepting new patients

Locations

101 W Edison Ave
Ste 246
Appleton, WI 54915
Phone (262) 226-2006

1011 N Lynndale Dr
Ste 2D
Appleton, WI 54914
Phone (920) 385-1420

712 Summit Ave
Oconomowoc, WI 53066
Phone (262) 226-2006

Organizations & group practices 2

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": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1427626597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 282",
            "city": "BLACK CREEK",
            "state": "WI",
            "postal_code": "541060282",
            "telephone_number": "920-570-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N LYNNDALE DR STE 2D",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143091",
            "telephone_number": "920-385-1420",
            "fax_number": "866-327-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUER",
        "first_name": "MARISSA",
        "middle_name": "ANNE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10633-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.