Stacy Dahlke, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

12161-125 Issued in WI

Practice address

W10771 Howard Dr W
Fox Lake, WI 53933-9710

Phone

(920) 382-1541

NPI assigned

Dec 2, 2024

Last updated

Nov 13, 2025By the provider in NPPES

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

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

Specialty

Mental Health Counselor

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Professional, WI

  Medicare reassignment NPD
• Comfortably Human Wellness

  • Mental Health Counselor
  • Fox Lake, WI
  • NPI 1104795103
  NPD Authorized official
• Healing Relationships LLC

  • Marriage & Family Therapist
  • Juneau, WI
  • NPI 1255953923
  NPD

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1609692003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W10771 HOWARD DR W",
            "city": "FOX LAKE",
            "state": "WI",
            "postal_code": "539339710",
            "telephone_number": "920-382-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W10771 HOWARD DR W",
            "city": "FOX LAKE",
            "state": "WI",
            "postal_code": "539339710",
            "telephone_number": "920-382-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLKE",
        "first_name": "STACY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "12161-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Paul Brooks, DDS
• Tina Brown
• Comfortably Human Wellness
• Consultants Laboratory of Wisconsin, LLC
• Teresa Cramer-McDonald, NP,APNP
• Amy Denneau, NP
• Fox Lake Community Fire Association
• Cindy B Hankes, MD
• Charles E Larson, M.D.
• Craig Edward Mahlum, D.D.S.

• Professional Counselor in Fox Lake, WI
• Providers in Fox Lake, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.