KORAH LEE PETRASKO LPC NPI 1346741345

NPI Information

  • NPI: 1346741345
  • Provider Name: KORAH LEE PETRASKO, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 711 N LYNNDALE DR STE 1A
    APPLETON, WI
    ZIP 54914
  • Phone: (920) 560-4525

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NPI Details

Korah Lee Petrasko, LPC is a professional counselor in Appleton, WI. Korah Lee Petrasko, LPC NPI is 1346741345. 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:

711 N LYNNDALE DR STE 1A
APPLETON, WI
ZIP 54914-078
Phone: (920) 560-4525

The NPI 1346741345 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 2/24/2018 and was last updated on 1/7/2025.

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
1101YP2500XCounselorProfessional3831-226WISCONSINNo
2101YP2500XCounselorProfessional8166WISCONSINYes

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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