Faith Olivia Anthony, LPC-IT
Individual provider Active NPI Mental Health Counselor · De Pere, WI
NPI 1992508154 · NPPES record last updated Jul 24, 2026
Key facts
- NPI
- 1992508154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 8467-226 (WI)
- Practice address
- 400 Reid St Ste N
De Pere, WI 54115-2164 - Phone
- (715) 842-9500
- Fax
- (715) 848-0425
- NPI assigned
- Mar 31, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8467-226 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Clinic, LLC | Mental Health | Past |
Accepting new patients |
| Behavioral Health Clinic, LLC | Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8467-226 | WI | Yes |
Addresses
Primary practice location
400 Reid St Ste N
De Pere, WI 54115-2164
Mailing address
1520 Tri Park Way Unit 4
Appleton, WI 54914-6433
Phone (317) 954-3197
Other providers in De Pere, WI
- Eliza Maria Teresa Andrews
- Lori Ann Andrus
- Angel'S Touch Assisted Living, LLC
- Jordan Angst
- Stephanie Ann Ansfield
- Paul Antonissen
- Stephen Matthew Asma
- Atelier Therapy Studio
- Peter Aubry
- Aurora Medical Group, Inc.
All providers in De Pere, WI · Mental Health 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 Jul 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.