SARAH POTTER CONSTANTINE NPI 1104585959

NPI Information

  • NPI: 1104585959
  • Provider Name: SARAH POTTER CONSTANTINE
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4330 GOLF TER STE 207
    EAU CLAIRE, WI
    ZIP 54701
  • Phone: (715) 514-0493

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NPI Details

Sarah Potter Constantine is a professional counselor in Eau Claire, WI with 11 years of experience. Sarah Potter Constantine NPI is 1104585959. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4330 GOLF TER STE 207
EAU CLAIRE, WI
ZIP 54701-688
Phone: (715) 514-0493
Fax: (877) 855-2504

The NPI 1104585959 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/9/2021 and was last updated on 11/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health10631-125WISCONSINNo
2101YP2500XCounselorProfessional10631-125WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11104585959MEDICAIDWISCONSIN
2100191002MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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