Theresa Gunn, SAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

16354 Issued in WI

Practice address

517 Court St RM 503
Neillsville, WI 54456-1976

Phone

(715) 743-5208

Fax

(715) 743-5209

NPI assigned

Mar 20, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clark County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Neillsville, WI
  • NPI 1598986564
  NPD (past)

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1477094688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 E 25TH ST",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495305",
            "telephone_number": "970-389-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 COURT ST RM 503",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544561976",
            "telephone_number": "715-743-5208",
            "fax_number": "715-743-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNN",
        "first_name": "THERESA",
        "credential": "SAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Fravert
• Brianna Freund, PHARM.D
• Deborah K George, DC
• Cynthia Anne Grota, MSSW, ACSW
• Guided Recovery Consultants, LLC
• Deann Hanson, RDH
• R. Tim Harvey, OD
• Syed Murtaza Hasan, MD
• Heather Marie Haun, RN
• Sheri L Hayes, PT

• Addiction (Substance Use Disorder) Counselor in Neillsville, WI
• Providers in Neillsville, 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 Apr 18, 2024; 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.