Thomas Nathaniel Pfister, LPC, CSAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7511-125 Issued in WI

Practice address

1488 Kenwood Dr Ste 205
Menasha, WI 54952-1152

Phone

(920) 717-9341

NPI assigned

May 21, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 17, 2026 through Apr 17, 2028

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.

• Most Sorrowful Mother Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Menasha, WI
  • NPI 1861289423
  NPD Authorized official
• Catholic Charities of the Diocese of Green Bay Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Green Bay, WI
  • NPI 1376769117
  NPD
• Pine Valley Integrated Services LLC

  • Community/Behavioral Health Agency
  • Mauston, WI
  • NPI 1013375104
  NPD (past)
• Pine Valley Residential Services

  • Mental Illness Community Based Residential Treatment Facility
  • Mauston, WI
  • NPI 1891126751
  NPD (past)

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1801387329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 KENWOOD DR STE 205",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521152",
            "telephone_number": "920-717-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 KENWOOD DR STE 205",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521152",
            "telephone_number": "920-717-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFISTER",
        "first_name": "THOMAS",
        "middle_name": "NATHANIEL",
        "name_prefix": "Mr.",
        "credential": "LPC, CSAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-21",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7511-125",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7511-125",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16389-132",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCC CERTIFICATION",
            "identifier": "1092317",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14264776",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Perzacki, M.D.
• Eric Richard Petersen
• Lauren Claire Petersen, MA, CF-SLP
• Samantha Jo Petersen, APSW
• John H. Peterson, MS
• Dawn Pieper
• Ruth Anne Pifer, P.T.
• Piic Clinical Services, PC (Campus Health Center)
• John Richard Pilon, M.A,.L.P.C. -IT
• Cheryl-Lynn M Pitre, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.