Sally S Sibblad, LMFT CADC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

506 Issued in WI

Practice address

212 11TH St S
La Crosse, WI 54601-4116

Phone

(608) 791-9555

Fax

(608) 791-9432

NPI assigned

Jun 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1922049345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WEST AVE S",
            "address_2": "ATTN PHYSICIAN SERVICES",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014783",
            "telephone_number": "608-791-4156",
            "fax_number": "608-791-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 11TH ST S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014116",
            "telephone_number": "608-791-9555",
            "fax_number": "608-791-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBBLAD",
        "first_name": "SALLY",
        "middle_name": "S",
        "credential": "LMFT CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "373",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39336200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anika Shortreed
• Jordan Shortreed
• Muhammad Shuja, MD
• Paul S Shultz, MD
• Justin K Shurts, D.O.
• Sumaiya Waseem Siddiqi, MD
• Nashreena Kaur Sidhu
• Elena I Sidorenko, MD
• Brian M Sieck, MD
• Sandra Ann Sieck, MD

• Marriage & Family Therapist in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.