Sandra Dee Quaintance – Professional Counselor

Key facts

NPI: 1992410070
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
Practice address: 13035 W Bluemound Rd Ste 100
Brookfield, WI 53005-8001
Phone: (262) 244-0729
NPI assigned: Jan 23, 2023
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Advance Clinical Services Clinical Social Worker · Kenosha, WI · NPI 1124791595

Medicare reassignment Care Compare group WI

Medicare Care Compare profile

Specialty: Mental Health Counselor
Education: Other, 2023
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Advance Clinical Services (4 clinicians)

Practice addresses (Care Compare)

6121 Green Bay Rd
Suite 200
Kenosha, WI 53142-2931
Phone (262) 864-1141

Medicare participation

Medicare fee-for-service enrollment: Enrolled in WI
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20260428001059	WI	Practitioner - Mental Health Counselor	9739656745	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Professional Counselor	101YP2500X		WI	Yes

Addresses

Primary practice location

13035 W Bluemound Rd Ste 100
Brookfield, WI 53005-8001

Mailing address

11740 314TH Ave
Twin Lakes, WI 53181-9414
Phone (847) 897-8274

Other providers in Brookfield, WI

All providers in Brookfield, WI · Professional Counselor in Wisconsin

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.