Individual provider Active NPI

Sara Gaska, LPC, CSAC, ICS

  • Mental Health Counselor
  • Juneau, WI
National Provider Identifier
1790984367
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3503-125 Issued in WI
Practice address
199 Home Rd
Juneau, WI 53039-1401
Phone
(920) 386-3500
Fax
(920) 386-3812
NPI assigned
Jul 13, 2007
Last updated
Dec 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3503-125 WI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15630-132 WI

Addresses

Primary practice location

199 Home Rd
Juneau, WI 53039-1401

Mailing address

199 Home Rd
Juneau, WI 53039-1401
Phone (920) 386-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15630-132WIMDAddiction (Substance Use Disorder) Counselor
3503-125WIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1790984367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 HOME RD",
            "city": "JUNEAU",
            "state": "WI",
            "postal_code": "530391401",
            "telephone_number": "920-386-3500",
            "fax_number": "920-386-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 HOME RD",
            "city": "JUNEAU",
            "state": "WI",
            "postal_code": "530391401",
            "telephone_number": "920-386-3500",
            "fax_number": "920-386-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASKA",
        "first_name": "SARA",
        "credential": "LPC, CSAC, ICS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3503-125",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15630-132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.