Sara Gaska, LPC, CSAC, ICS
Individual provider Active NPI Mental Health Counselor · Juneau, WI
NPI 1790984367 · NPPES record last updated Dec 15, 2011
Key facts
- NPI
- 1790984367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 3503-125 (WI)
- Practice address
- 199 Home Rd
Juneau, WI 53039-1401 - Phone
- (920) 386-3500
- Fax
- (920) 386-3812
- NPI assigned
- Jul 13, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15630-132 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 3503-125 | WI | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3503-125 | WI | Yes |
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40989200 | Other | WI | T-19 |
Other providers in Juneau, WI
- Ann Marie Falkinham
- Jason E Flanders
- Aubrey Fleischer
- Maisie Mae Floyd
- Alicia Frank
- Kristine Marie Gay
- Angela Rose Giangiulio
- Kayla Gibbons
- Rachel Leigh Goss
- Robert Wayne Griesel
All providers in Juneau, WI · Mental Health Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.