Rachel J Gretebeck, MS, CSAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13997-132 Issued in WI

Practice address

3425 Superior Ave
Sheboygan, WI 53081-1863

Phone

(920) 458-5557

Fax

(920) 458-2692

NPI assigned

Oct 27, 2009

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

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.

• Bridgepoint Health LLC

  • Mental Health Counselor
  • Sheboygan, WI
  • NPI 1760593727
  NPD (past)

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1629304597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 387",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530820387",
            "telephone_number": "920-458-5557",
            "fax_number": "920-458-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 SUPERIOR AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811863",
            "telephone_number": "920-458-5557",
            "fax_number": "920-458-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRETEBECK",
        "first_name": "RACHEL",
        "middle_name": "J",
        "credential": "MS, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "13997-132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Charles Green, MSSW
• Kathryn A Green, MD
• Mackenzie Green, MS, CCC-SLP
• Emily Lynn Greening, PA
• Charysse M Gregorash, MS-SLP
• Lori A Gretz
• Anthony J Gries, PT
• Laura Martha Griffin, MS, ATR-BC
• Daniel Paul Grimm, D.C.
• Brenda Mae Grissom, OTR

• Mental Health Counselor in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.