Kelsey Sustarsic, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2001669 Issued in OH

Practice address

S77W30705 Mosher Dr
Mukwonago, WI 53149-8860

Phone

(216) 570-9680

NPI assigned

Apr 19, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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 1

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 and National Provider Directory roles.

• Live Well Counseling, LLC

  • Mental Health Counselor
  • Mentor, OH
  • NPI 1932860178
  Medicare reassignment NPD
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  OH

  Medicare reassignment NPD

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1891229522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S77W30705 MOSHER DR",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531498860",
            "telephone_number": "216-570-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S77W30705 MOSHER DR",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531498860",
            "telephone_number": "216-570-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSTARSIC",
        "first_name": "KELSEY",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1500367",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2001669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Stephani, MSW
• Joan Maria Stevenson, OTR
• Michele Marie Stiemke, LPN
• Scott R. Strehlow, M.D.
• Sullivan Dentistry,LLC
• Einar Carl Svang II, DDS
• Ernest Joseph Tanel, RPH
• Gwendolyn A Tanel, MD
• Kelly Nicole Tesser, RN
• Therapeutic Healing, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.