Sandra G. Betka, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5557-125 Issued in WI

Practice address

10045 W Lisbon Ave
Wauwatosa, WI 53222-2446

Phone

(414) 359-7999

NPI assigned

Oct 1, 2012

Last updated

Feb 11, 2015By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Geneva Wellness Clinic LLCGroup PAC ID 7517139447, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Lake Geneva Wellness Clinic LLC

  • Clinical Psychologist
  • Lake Geneva, WI
  • NPI 1003845181
  Medicare reassignment Care Compare group NPD
• Evizzit of Iowa Psychiatry PC

  dba Integrated Telehealth Partners

  • Psychiatry Physician
  • West Des Moines, IA
  • NPI 1740841188

  WI

  Medicare reassignment NPD

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1740531722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10045 W LISBON AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532222446",
            "telephone_number": "414-358-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10045 W LISBON AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532222446",
            "telephone_number": "414-359-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETKA",
        "first_name": "SANDRA",
        "middle_name": "G.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5557-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740531722",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reivian Berrios Barillas, PT
• Caitlin MK Berry, NP
• Jodi Lynn Bertschinger, APSW
• Adam Beth
• Zachary Beth, DPM
• Jessica Bevan
• Beverly K. Yahnke Dba Christian Counseling SVCS
• Beyer Chiropractic, LLC
• Carrie Beyer, RN
• Christopher James Beyer, D.C.

• Professional Counselor in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.