Stephanie I. Braski, M.S. SAC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Appleton, WI

NPI 1982933479 · NPPES record last updated Feb 4, 2011

Key facts

NPI
1982933479
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
15542-131 (WI)
Practice address
1531 S. Oneida St
Appleton, WI 54915
Phone
(920) 730-4411
Fax
(920) 831-8439
NPI assigned
Dec 14, 2009
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
15542-131WIMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15542-131 WI Yes

Addresses

Primary practice location

1531 S. Oneida St
Appleton, WI 54915

Mailing address

1531 S. Oneida St
Appleton, WI 54915
Phone (920) 730-4411

Other names

  • Stephanie I Schuster Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 4, 2011.

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1982933479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 S. ONEIDA ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54915",
            "telephone_number": "920-730-4411",
            "fax_number": "920-831-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 S. ONEIDA ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54915",
            "telephone_number": "920-730-4411",
            "fax_number": "920-831-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASKI",
        "first_name": "STEPHANIE",
        "middle_name": "I.",
        "name_prefix": "Ms.",
        "credential": "M.S. SAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-14",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15542-131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SCHUSTER",
            "middle_name": "I",
            "credential": "B.S., RADCI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Appleton, WI

All providers in Appleton, WI · Addiction (Substance Use Disorder) Counselor in Wisconsin

Sources for this page

Verify at the official NPI Registry.