Paradyse Sidney Trost, SAC-IT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

20053-130 Issued in WI

Practice address

1752 Dorset LN
New Richmond, WI 54017-2452

Phone

(715) 246-8204

NPI assigned

May 1, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1942057609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 ORANGE ST",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 DORSET LN",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540172452",
            "telephone_number": "715-246-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROST",
        "first_name": "PARADYSE",
        "middle_name": "SIDNEY",
        "credential": "SAC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "20053-130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Christine Thibodeau, 129741-121
• Scott Thiemann
• Alpana Tiwari, M.D.
• Jennifer Joyce Tretsven, CRNA
• Nicole Trosen, PHARMD
• Alyssa Re Tulman Bruner, CSAC
• Everett Tysdahl
• Kelley Ryan Uglem, PHARM. D.
• Laura Kay Utgard
• Michael D Vad, CRNA

• Addiction (Substance Use Disorder) Counselor in New Richmond, WI
• Providers in New Richmond, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.