Theresa Marie Shuck, MS,MA,LCGC,LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

15300 Watertown Plank Rd #106
Elm Grove, WI 53122-7503

Phone

(414) 807-8934

NPI assigned

Jan 4, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Science

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.

• Sherman Counseling Management, S.C.

  dba Sherman Counseling Management

  • Psychologist
  • Appleton, WI
  • NPI 1235251349
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683417600000",
    "number": "1598743239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 ANDY JOHN CT",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116371",
            "telephone_number": "920-606-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 WATERTOWN PLANK RD #106",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531227503",
            "telephone_number": "414-807-8934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2112 Andy John Ct",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543117503",
            "country_code": "US",
            "telephone_number": "920-606-0130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 Glenwood Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554054402",
            "country_code": "US",
            "telephone_number": "612-314-7482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUCK",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS,MA,LCGC,LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2023-05-07",
        "certification_date": "2023-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Lynn Schulz, LCSW
• Samantha Schwartz, PSYD
• Annamarie Seminary
• Serendipity Psychotherapy and Medication Management
• Shanti Mental Health Center LLC
• Kenneth A Sieczkowski, CADC-III
• Gary Frank Skaleski, LPC
• Shelly M Smith, LMFT
• Mark G Snyder, PT
• Michael J. Sonney-Kamanski, RN

• Professional Counselor in Elm Grove, WI
• Providers in Elm Grove, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2023; 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.